Matthew Lahey, DC | |
1147 S Wabash Ave Ste 250b, Chicago, IL 60605-2355 | |
(312) 987-4878 | |
(312) 235-0909 |
Full Name | Matthew Lahey |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 1147 S Wabash Ave Ste 250b, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144938770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038.013923 (Illinois) | Primary |
Provider Name | Advanced Health Medical Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063187631 PECOS PAC ID: 5395140610 Enrollment ID: O20210825002267 |
Mailing Address | Practice Location Address |
---|---|
Matthew Lahey, DC 1147 S Wabash Ave Ste 250b, Chicago, IL 60605-2355 Ph: (312) 987-4878 | Matthew Lahey, DC 1147 S Wabash Ave Ste 250b, Chicago, IL 60605-2355 Ph: (312) 987-4878 |
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