Petrak Family Chiropractic Center S.c | |
3070 South Wolf Rd, Westchester, IL 60154 | |
(630) 853-9971 | |
Not Available |
Full Name | Petrak Family Chiropractic Center S.c |
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Type | Facility |
Speciality | Chiropractor |
Location | 3070 South Wolf Rd, Westchester, 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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1841661774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Stephen R Petrak |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1811308919 PECOS PAC ID: 6103040209 Enrollment ID: I20140611000919 |
Provider Name | Jacob Lombardi Mammosser |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1306552559 PECOS PAC ID: 8426420753 Enrollment ID: I20230214000922 |
Mailing Address | Practice Location Address |
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Petrak Family Chiropractic Center S.c 3070 South Wolf Rd, Westchester, IL 60154 Ph: (630) 853-9971 | Petrak Family Chiropractic Center S.c 3070 South Wolf Rd, Westchester, IL 60154 Ph: (630) 853-9971 |
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