Lucas C Mccully, DC | |
820 E Terra Cotta Ave Ste 144, Crystal Lake, IL 60014-3634 | |
(815) 526-3658 | |
Not Available |
Full Name | Lucas C Mccully |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 820 E Terra Cotta Ave Ste 144, Crystal Lake, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154567659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH60043071 (Washington) | Primary |
Provider Name | Mccully Atlas Spinal Care Chiropractic, P.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730631268 PECOS PAC ID: 9133573058 Enrollment ID: O20230927000223 |
Mailing Address | Practice Location Address |
---|---|
Lucas C Mccully, DC 820 E Terra Cotta Ave Ste 144, Crystal Lake, IL 60014-3634 Ph: (815) 526-3658 | Lucas C Mccully, DC 820 E Terra Cotta Ave Ste 144, Crystal Lake, IL 60014-3634 Ph: (815) 526-3658 |
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