Dr Serena Kleinstub, DC | |
21805 W Field Pkwy Ste 120, Deer Park, IL 60010-3228 | |
(224) 848-6003 | |
(224) 848-6004 |
Full Name | Dr Serena Kleinstub |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 14 Years |
Location | 21805 W Field Pkwy Ste 120, Deer Park, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710297932 | NPI | - | NPPES |
067798 | Other | IL | OPTUM |
1193200 | Other | IL | AMERICAN SPECIALTY HEALTH |
537465489 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 11591 (Texas) | Secondary |
111N00000X | Chiropractor | 038012056 (Illinois) | Primary |
Provider Name | Serena Kleinstub Dc Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114401270 PECOS PAC ID: 8628320900 Enrollment ID: O20181015003141 |
Mailing Address | Practice Location Address |
---|---|
Dr Serena Kleinstub, DC 21805 W Field Pkwy Ste 120, Deer Park, IL 60010-3228 Ph: (224) 848-6003 | Dr Serena Kleinstub, DC 21805 W Field Pkwy Ste 120, Deer Park, IL 60010-3228 Ph: (224) 848-6003 |
Serena Kleinstub Dc, P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 21805 W Field Pkwy Ste 120, Deer Park, IL 60010 Phone: 224-848-6003 Fax: 224-848-6004 | |
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 |