| Manteno Chiropractic & Wellness Center | |
|
43 W Second St, Manteno, IL 60950-1240 | |
| (815) 200-4362 | |
| Not Available |
| Full Name | Manteno Chiropractic & Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 43 W Second St, Manteno, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346839768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Leslie J Botta |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669744306 PECOS PAC ID: 2365606423 Enrollment ID: I20120621000283 |
| Mailing Address | Practice Location Address |
|---|---|
| Manteno Chiropractic & Wellness Center 43 W Second St, Manteno, IL 60950-1240 Ph: (815) 200-4362 | Manteno Chiropractic & Wellness Center 43 W Second St, Manteno, IL 60950-1240 Ph: (815) 200-4362 |
Sample Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 51 N Main St, Manteno, IL 60950 Phone: 815-468-7787 Fax: 815-468-0154 | |
Dr. Michael W Sample, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 51 N Main St, Manteno, IL 60950 Phone: 815-468-7787 Fax: 815-468-0154 | |
Sample Chiropractic, Ltd. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 51 N Main St, Manteno, IL 60950 Phone: 815-468-7787 Fax: 815-468-0154 | |
Dr. Leslie J Botta, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 43 W Second St, Manteno, IL 60950 Phone: 815-200-4362 | |
Dr. Dawn M Sample, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 51 N Main St, Manteno, IL 60950 Phone: 815-468-8403 Fax: 815-468-0154 |