Park Brothers Pain Clinic P.c | |
9408 Waukegan Rd, Morton Grove, IL 60053-1352 | |
(847) 983-4499 | |
(847) 983-4599 |
Full Name | Park Brothers Pain Clinic P.c |
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Type | Facility |
Speciality | Chiropractor - Rehabilitation |
Location | 9408 Waukegan Rd, Morton Grove, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013149475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | 038011256 (Illinois) | Primary |
Provider Name | Yong W Park |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1154560696 PECOS PAC ID: 2062567936 Enrollment ID: I20090827000715 |
Mailing Address | Practice Location Address |
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Park Brothers Pain Clinic P.c 9408 Waukegan Rd, Morton Grove, IL 60053-1352 Ph: (847) 983-4499 | Park Brothers Pain Clinic P.c 9408 Waukegan Rd, Morton Grove, IL 60053-1352 Ph: (847) 983-4499 |
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