Mikael Axel Johnson, DC | |
5316 West Elm St, Mchenry, IL 60050-4029 | |
(815) 324-4763 | |
(815) 669-1047 |
Full Name | Mikael Axel Johnson |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 19 Years |
Location | 5316 West Elm St, Mchenry, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982700373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038-010553 (Illinois) | Primary |
Provider Name | Core Chiropractic, S.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295133973 PECOS PAC ID: 6406179308 Enrollment ID: O20141230000275 |
Mailing Address | Practice Location Address |
---|---|
Mikael Axel Johnson, DC 5316 West Elm St, Mchenry, IL 60050-4029 Ph: (815) 324-4763 | Mikael Axel Johnson, DC 5316 West Elm St, Mchenry, IL 60050-4029 Ph: (815) 324-4763 |
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