| Oswego Chiropractic, Ltd. | |
|
73 W Van Buren St, Oswego, IL 60543-7213 | |
| (630) 554-3578 | |
| (630) 554-3792 |
| Full Name | Oswego Chiropractic, Ltd. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 73 W Van Buren St, Oswego, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790983492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Provider Name | Shane M Wade |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821204223 PECOS PAC ID: 3476653734 Enrollment ID: I20070716000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Oswego Chiropractic, Ltd. 628 Salem Cir, Oswego, IL 60543-8665 Ph: () - | Oswego Chiropractic, Ltd. 73 W Van Buren St, Oswego, IL 60543-7213 Ph: (630) 554-3578 |
Anenglish Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 83 Templeton Dr Ste C, Oswego, IL 60543 Phone: 630-554-9991 Fax: 630-554-9992 | |
Dr. Vanessa Paulina Ulloa, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1210 Douglas Rd # A, Oswego, IL 60543 Phone: 630-608-2885 | |
Kristen A Accardo, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1231 Farmington Lakes Drive, Suite 101, Oswego, IL 60543 Phone: 331-212-6962 Fax: 630-429-9276 | |
Dr. Lisa Marie Stout, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 57 W Van Buren St, Oswego, IL 60543 Phone: 630-554-6111 Fax: 630-554-6116 | |
Zaahir Hendricks, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 263 N Merchants Dr, Oswego, IL 60543 Phone: 630-264-6500 Fax: 630-264-6385 | |
Jenna Marie Boazzo Glenn, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 39a Stonehill Rd, Oswego, IL 60543 Phone: 630-360-4040 |