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260 So Main St., Seneca Il, IL 61360 | |
(815) 357-6858 | |
(815) 357-6857 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 260 So Main St., Seneca Il, 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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1912125097 | NPI | - | NPPES |
060-007446 | Other | IL | CORPORATE STATE LICENSE |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 060-007446 (Illinois) | Primary |
Provider Name | Sean F Gibbs |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1619989241 PECOS PAC ID: 9133394174 Enrollment ID: I20111208000099 |
Provider Name | Christa M Velos |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518979137 PECOS PAC ID: 8224203260 Enrollment ID: I20111208000112 |
Mailing Address | Practice Location Address |
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260 So Main St., Seneca, IL 61360 Ph: (815) 357-6858 | 260 So Main St., Seneca Il, IL 61360 Ph: (815) 357-6858 |