| Primal Chiropractic And Rehabilitation Pllc | |
|
411 S Broad St, Lanark, IL 61046-1209 | |
| (815) 238-1250 | |
| Not Available |
| Full Name | Primal Chiropractic And Rehabilitation Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 411 S Broad St, Lanark, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053071811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Primal Chiropractic And Rehabilitation Pllc 411 S Broad St, Lanark, IL 61046-1209 Ph: () - | Primal Chiropractic And Rehabilitation Pllc 411 S Broad St, Lanark, IL 61046-1209 Ph: (815) 238-1250 |
Dr. Shawni Lyn Groezinger, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 502 Il Route 64, Lanark, IL 61046 Phone: 815-493-2666 | |
Dr. Diana L Henson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10707 Flory Rd, Lanark, IL 61046 Phone: 815-985-0443 | |
Clayton Ruter, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 411 S Broad St, Lanark, IL 61046 Phone: 815-238-1250 |