| Queen Village Chiropractic & Nutrition | |
|
512 S 4th St, Philadelphia, PA 19147-1507 | |
| (215) 923-2448 | |
| Not Available |
| Full Name | Queen Village Chiropractic & Nutrition |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 512 S 4th St, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114972023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC008968 (Pennsylvania) | Primary |
| Provider Name | Cara K Hillwig |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922052638 PECOS PAC ID: 5597737916 Enrollment ID: I20040809000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Queen Village Chiropractic & Nutrition 512 S 4th St, Philadelphia, PA 19147-1507 Ph: () - | Queen Village Chiropractic & Nutrition 512 S 4th St, Philadelphia, PA 19147-1507 Ph: (215) 923-2448 |
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