| Serena Kleinstub Dc, P.c. | |
|
21805 W Field Pkwy Ste 120, Deer Park, IL 60010-3231 | |
| (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 |
| 1193200 | Other | IL | AMERICAN SPECIALTY HEALTH |
| 067798 | Other | IL | OPTUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Serena Kleinstub |
|---|---|
| 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 60010-3231 Ph: (224) 848-6003 | Serena Kleinstub Dc, P.c. 21805 W Field Pkwy Ste 120, Deer Park, IL 60010-3231 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 Salerno, 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 |