| Spring Grove Medical Offices Ltd | |
|
2100 Route 12, Suite 101, Spring Grove, IL 60081 | |
| (815) 675-0675 | |
| Not Available |
| Full Name | Spring Grove Medical Offices Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2100 Route 12, Spring Grove, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740332592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038-007206 (Illinois) | Primary |
| Provider Name | Martin G Fortier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023012077 PECOS PAC ID: 2365431525 Enrollment ID: I20040511001602 |
| Provider Name | Ralph P Destephano |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053429670 PECOS PAC ID: 7113986605 Enrollment ID: I20041008001295 |
| Provider Name | Kyle L Beres |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225106495 PECOS PAC ID: 4183626914 Enrollment ID: I20070208000060 |
| Provider Name | Lauren Destephano |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376175893 PECOS PAC ID: 3870910474 Enrollment ID: I20200827002199 |
| Provider Name | Steffan Miller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346831690 PECOS PAC ID: 4789091984 Enrollment ID: I20210407000021 |
| Provider Name | Kara Anne Hoevel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841871498 PECOS PAC ID: 6800290172 Enrollment ID: I20210809001875 |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Grove Medical Offices Ltd 2100 Route 12, Suite 101, Spring Grove, IL 60081 Ph: (815) 675-0675 | Spring Grove Medical Offices Ltd 2100 Route 12, Suite 101, Spring Grove, IL 60081 Ph: (815) 675-0675 |
Dr. Darrin R Foszcz, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2207 N Us Highway 12, Suite E, Spring Grove, IL 60081 Phone: 815-675-9355 Fax: 815-675-9323 | |
Ralph Destephano, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2100 N Us Hwy 12, Suite 101, Spring Grove, IL 60081 Phone: 815-675-0675 Fax: 815-675-9836 | |
Dr. Yuka Ryan, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4005 May Ln, Spring Grove, IL 60081 Phone: 815-790-3448 | |
Discover Chiropractic & Acupuncture Chiropractor Medicare: Medicare Enrolled Practice Location: 2207 N Us Highway 12, Suite E, Spring Grove, IL 60081 Phone: 815-675-9355 Fax: 815-975-9323 | |
Dr. Adam R Hoevel, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2100 N Us Highway 12 Ste 101, Spring Grove, IL 60081 Phone: 815-675-0675 | |
Mrs. Natalie J Frobish, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2900 N. Us Highway 12, Suite J, Spring Grove, IL 60081 Phone: 815-675-0699 Fax: 815-675-0689 | |
Steffan Matthew Miller, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2100 Us Hwy Route 12, Suite 101, Spring Grove, IL 60081 Phone: 815-675-0675 |