Marvel Chiropractic And Wellness Center Llc | |
417 E Broadway Blvd, Johnston City, IL 62951-1608 | |
(618) 983-8100 | |
(618) 983-8110 |
Full Name | Marvel Chiropractic And Wellness Center Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 417 E Broadway Blvd, Johnston City, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699924373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 038.011177 (Illinois) | Primary |
Provider Name | Michelle D Marvel |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1316107279 PECOS PAC ID: 3971666728 Enrollment ID: I20090106000388 |
Mailing Address | Practice Location Address |
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Marvel Chiropractic And Wellness Center Llc 417 E Broadway Blvd, Johnston City, IL 62951-1608 Ph: (618) 983-8100 | Marvel Chiropractic And Wellness Center Llc 417 E Broadway Blvd, Johnston City, IL 62951-1608 Ph: (618) 983-8100 |
Dr. Robert Donald Martin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 217 E Broadway Blvd, Johnston City, IL 62951 Phone: 619-983-3900 | |
Dr. Michael Wayne Childress, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 217 E Broadway Blvd, Johnston City, IL 62951 Phone: 618-983-3900 Fax: 618-983-3900 |