Park Forest Chiropractic, Ltd. | |
386 Forest Blvd, Park Forest, IL 60466-2005 | |
(708) 481-1715 | |
(708) 481-8915 |
Full Name | Park Forest Chiropractic, Ltd. |
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Type | Facility |
Speciality | Chiropractor |
Location | 386 Forest Blvd, Park Forest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1598734295 | NPI | - | NPPES |
1622660 | Other | IL | BCBSIL |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (Illinois) | Primary |
Provider Name | David W Tyssen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1982673265 PECOS PAC ID: 1052401957 Enrollment ID: I20071215000134 |
Provider Name | Gary D Tennant |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780653071 PECOS PAC ID: 2567542129 Enrollment ID: I20080108000788 |
Mailing Address | Practice Location Address |
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Park Forest Chiropractic, Ltd. 386 Forest Blvd, Park Forest, IL 60466-2005 Ph: (708) 481-1715 | Park Forest Chiropractic, Ltd. 386 Forest Blvd, Park Forest, IL 60466-2005 Ph: (708) 481-1715 |
Matthew Thacker, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 437 Springfield St, Park Forest, IL 60466 Phone: 708-870-6161 | |
Dr. Gary D Tennant, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 386 Forest Blvd, Park Forest, IL 60466 Phone: 708-481-1715 Fax: 708-481-8915 | |
Dr. David Tyssen, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 386 Forest Blvd, Park Forest, IL 60466 Phone: 708-481-1715 Fax: 708-481-8915 |