Moiz Elawad, | |
11933 S Pulaski Rd Ste C1, Alsip, IL 60803-1100 | |
(314) 704-5959 | |
Not Available |
Full Name | Moiz Elawad |
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Gender | Male |
Speciality | Chiropractor |
Location | 11933 S Pulaski Rd Ste C1, Alsip, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1083316830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 038.013959 (Iowa) | Primary |
Provider Name | Lundgren Chiropractic, Ltd |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861654469 PECOS PAC ID: 9234311010 Enrollment ID: O20110315001060 |
Mailing Address | Practice Location Address |
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Moiz Elawad, 11933 S Pulaski Rd Ste C1, Alsip, IL 60803-1100 Ph: () - | Moiz Elawad, 11933 S Pulaski Rd Ste C1, Alsip, IL 60803-1100 Ph: (314) 704-5959 |
Frank A Vaught Jr., DC Chiropractor Medicare: Medicare Enrolled Practice Location: 11933 S Pulaski Rd Ste C1, Alsip, IL 60803 Phone: 314-704-5959 Fax: 708-396-8605 | |
Phelps Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5155 W 111th St, Alsip, IL 60803 Phone: 708-636-5555 Fax: 708-636-5564 | |
Phelps Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 5155 W 111th St, Alsip, IL 60803 Phone: 708-636-5555 | |
Dr. Stacy Ann Phelps, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5155 W 111th St, Alsip, IL 60803 Phone: 708-636-5555 Fax: 708-636-5564 |