St Clair Chiropractic Llc | |
622 S Jefferson St, Mascoutah, IL 62258-2615 | |
(618) 327-2000 | |
Not Available |
Full Name | St Clair Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 622 S Jefferson St, Mascoutah, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1720622079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Kelly L Stanfield |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1285670034 PECOS PAC ID: 4789699125 Enrollment ID: I20170629002820 |
Provider Name | Gary Mueller |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366963878 PECOS PAC ID: 4284991118 Enrollment ID: I20171201001754 |
Mailing Address | Practice Location Address |
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St Clair Chiropractic Llc 140 S Mill St, Nashville, IL 62263-1831 Ph: (618) 327-2000 | St Clair Chiropractic Llc 622 S Jefferson St, Mascoutah, IL 62258-2615 Ph: (618) 327-2000 |
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