| Sports & Family Chiropractic Clinic | |
|
6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 | |
| (262) 653-9208 | |
| (262) 653-9264 |
| Full Name | Sports & Family Chiropractic Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6123 Green Bay Rd, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629063458 | NPI | - | NPPES |
| 38910800 | Medicaid | WI | |
| 398964451007 | Other | BCBS OF WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3590 (Wisconsin) | Primary |
| 111N00000X | Chiropractor | 038009230 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Sports & Family Chiropractic Clinic Po Box 158, Kenosha, WI 53141-0158 Ph: (262) 925-9000 | Sports & Family Chiropractic Clinic 6123 Green Bay Rd, Suite 140, Kenosha, WI 53142-2927 Ph: (262) 653-9208 |
Dr. Walter Rudolph Wiesztort, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4014 77th St, Ste. 2, Kenosha, WI 53142 Phone: 262-694-3530 Fax: 262-925-8810 | |
Dr. Kristopher Wyllis Peterson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5703 75th St, Kenosha, WI 53142 Phone: 262-697-1363 Fax: 262-697-1388 | |
Dr. Amy L Foerster, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 11300 75th St, Kenosha, WI 53142 Phone: 262-909-1039 Fax: 262-843-8218 | |
Dr. Daniel Charles Esposito, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1024 60th St, Suite 1, Kenosha, WI 53140 Phone: 262-657-7744 Fax: 262-657-7753 | |
Dr. William Todd Hendrick, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6824 103rd Ave, Kenosha, WI 53142 Phone: 262-948-8182 | |
Wiesztort Family Chiropractic Clinic, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 4014 77th St Ste 2, Kenosha, WI 53142 Phone: 262-694-3530 Fax: 262-925-8810 | |
Absolute Chiropractic & Wellness Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 11300 75th St, Suite E, Kenosha, WI 53142 Phone: 262-909-1039 |