| Lockport Chiropractic Center Ltd | |
|
360 Summit Dr, Lockport, IL 60441-3244 | |
| (815) 838-9441 | |
| (815) 838-3401 |
| Full Name | Lockport Chiropractic Center Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 360 Summit Dr, Lockport, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518142264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038006808 (Illinois) | Primary |
| Provider Name | Timothy E Radcliffe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730233057 PECOS PAC ID: 1153494364 Enrollment ID: I20080722000297 |
| Provider Name | Andrew J Garner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932491354 PECOS PAC ID: 9133352255 Enrollment ID: I20140425000704 |
| Provider Name | Justine Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104282342 PECOS PAC ID: 4486957685 Enrollment ID: I20160121002023 |
| Provider Name | Dale Anthony Mraz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619536927 PECOS PAC ID: 0749616472 Enrollment ID: I20200128002893 |
| Mailing Address | Practice Location Address |
|---|---|
| Lockport Chiropractic Center Ltd 360 Summit Dr, Lockport, IL 60441-3244 Ph: (815) 838-9441 | Lockport Chiropractic Center Ltd 360 Summit Dr, Lockport, IL 60441-3244 Ph: (815) 838-9441 |
Life Purpose Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1110 E 9th St, Lockport, IL 60441 Phone: 773-842-9092 | |
Justine Johnson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 360 Summit Dr, Lockport, IL 60441 Phone: 815-838-9441 Fax: 815-838-3401 | |
Dr. Gerald A Vercellotti, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1000 S Hamilton St, Lockport, IL 60441 Phone: 815-838-4921 Fax: 815-838-9650 | |
Angelica Wujcik, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 420 Summit Drive, Lockport, IL 60441 Phone: 815-838-9441 | |
Chicago Spine Institute Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16622 W 159th St Ste 500, Lockport, IL 60441 Phone: 815-838-7746 | |
Healthy Connection Wellness Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16626 W 159th St, Suite 700, Lockport, IL 60441 Phone: 815-834-9075 Fax: 815-834-9077 | |
For All Chiropractic Nfp Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16626 W. 159th St #700, Lockport, IL 60441 Phone: 773-842-9092 |