Palmer College Of Chiropractic | |
2001 52nd Ave, Suite 1, Moline, IL 61265-6368 | |
(309) 764-4901 | |
(309) 797-7688 |
Full Name | Palmer College Of Chiropractic |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 2001 52nd Ave, Moline, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245365733 | NPI | - | NPPES |
038003364 | Medicaid | IL | |
038003521 | Medicaid | IL | |
038008298 | Medicaid | IL | |
038005059 | Medicaid | IL | |
038009444 | Medicaid | IL | |
0008115279 | Other | IL | BLUE CROSS BLUE SHIELD IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Callyn R Dittmar |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1669642500 PECOS PAC ID: 9133291974 Enrollment ID: I20080710000497 |
Provider Name | Maria Anderson-dooley |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1881682540 PECOS PAC ID: 8224197918 Enrollment ID: I20081110000827 |
Provider Name | Ian D Mclean |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1013926484 PECOS PAC ID: 4981741394 Enrollment ID: I20110323000766 |
Provider Name | Harry Wallace |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1578523734 PECOS PAC ID: 9830361385 Enrollment ID: I20111006000072 |
Provider Name | Carla Ann Sullivan |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1386920510 PECOS PAC ID: 5890969067 Enrollment ID: I20111128000490 |
Provider Name | Thomas A Klopcic |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1649814781 PECOS PAC ID: 8729405840 Enrollment ID: I20200903000051 |
Mailing Address | Practice Location Address |
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Palmer College Of Chiropractic 2001 52nd Ave, Suite 1, Moline, IL 61265-6368 Ph: (309) 764-4901 | Palmer College Of Chiropractic 2001 52nd Ave, Suite 1, Moline, IL 61265-6368 Ph: (309) 764-4901 |
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