Mitchell Quill, DC | |
550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | |
(620) 739-1791 | |
Not Available |
Full Name | Mitchell Quill |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 8 Years |
Location | 550 E Boughton Rd Ste 150, Bolingbrook, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144775800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038012954 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Quill Family Chiropractic | 6103168505 | 3 |
Provider Name | Quill Family Chiropractic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205394970 PECOS PAC ID: 6103168505 Enrollment ID: O20190515000729 |
Mailing Address | Practice Location Address |
---|---|
Mitchell Quill, DC 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440-2189 Ph: (224) 301-3043 | Mitchell Quill, DC 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 Ph: (620) 739-1791 |
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