| Pain Relief Center Of Vandalia Inc | |
|
100 N Kennedy Blvd, Vandalia, IL 62471 | |
| (618) 283-1100 | |
| (618) 283-1101 |
| Full Name | Pain Relief Center Of Vandalia Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 100 N Kennedy Blvd, Vandalia, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588773089 | NPI | - | NPPES |
| 02632010 | Other | IL | BCBS |
| 539980 | Other | IL | HL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038009768 (Illinois) | Primary |
| Provider Name | Jeremy R Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710018395 PECOS PAC ID: 0143275024 Enrollment ID: I20050314000585 |
| Provider Name | Emily J Odom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275990780 PECOS PAC ID: 5496005472 Enrollment ID: I20180912003198 |
| Mailing Address | Practice Location Address |
|---|---|
| Pain Relief Center Of Vandalia Inc 100 N Kennedy Blvd, Vandalia, IL 62471 Ph: (618) 283-1100 | Pain Relief Center Of Vandalia Inc 100 N Kennedy Blvd, Vandalia, IL 62471 Ph: (618) 283-1100 |
Jedidiah Cox, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 825 New York Dr Ste 1, Vandalia, IL 62471 Phone: 618-283-2230 Fax: 618-283-1868 | |
J Cox Enterprises Ltd Chiropractor Medicare: Medicare Enrolled Practice Location: 825 New York Dr Ste 1, Vandalia, IL 62471 Phone: 618-283-2230 Fax: 618-283-1868 | |
Tepperberg Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 110 S 6th St, Vandalia, IL 62471 Phone: 618-283-7070 Fax: 618-283-7049 | |
Mr. Matthew Earl Labertew, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 825 New York Dr Ste 1, Vandalia, IL 62471 Phone: 618-283-2230 Fax: 618-283-1868 | |
Dr. Jeremy R Clark, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 100 N Kennedy Blvd, Vandalia, IL 62471 Phone: 618-531-1141 | |
Dr. Joseph J Solan, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 427 W Orchard St, Ste B, Vandalia, IL 62471 Phone: 618-283-0029 Fax: 618-283-4675 |