Serena Kleinstub Dc, P.c. | |
21805 W Field Pkwy Ste 120, Deer Park, IL 60010-3228 | |
(224) 848-6003 | |
(224) 848-6004 |
Full Name | Serena Kleinstub Dc, P.c. |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 21805 W Field Pkwy Ste 120, Deer Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114401270 | NPI | - | NPPES |
067798 | Other | IL | OPTUM |
1193200 | Other | IL | AMERICAN SPECIALTY HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Serena Kleinstub |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1710297932 PECOS PAC ID: 4688823743 Enrollment ID: I20121004000441 |
Mailing Address | Practice Location Address |
---|---|
Serena Kleinstub Dc, P.c. 21805 W Field Pkwy Ste 120, Deer Park, IL 60010-3228 Ph: (224) 848-6003 | Serena Kleinstub Dc, P.c. 21805 W Field Pkwy Ste 120, Deer Park, IL 60010-3228 Ph: (224) 848-6003 |
Dr. J. Grant Reffell, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 20876 N. Rand Rd., Deer Park, IL 60010 Phone: 847-726-0044 | |
Healthsource Of Deer Park Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 20876 N Rand Rd, Deer Park, IL 60010 Phone: 847-726-0044 | |
Dr. Serena Kleinstub, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 21805 W Field Pkwy Ste 120, Deer Park, IL 60010 Phone: 224-848-6003 Fax: 224-848-6004 |