| Sullivan Chiropractic Center | |
|
1209 N. Main St., #b, Chatham, IL 62629-0264 | |
| (217) 483-2207 | |
| (217) 483-3248 |
| Full Name | Sullivan Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1209 N. Main St., Chatham, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891837027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Maurice Eugene Sullivan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649496076 PECOS PAC ID: 4789764200 Enrollment ID: I20080109000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Sullivan Chiropractic Center Po Box 264, 1209 N. Main St., #b, Chatham, IL 62629-0264 Ph: (217) 483-2207 | Sullivan Chiropractic Center 1209 N. Main St., #b, Chatham, IL 62629-0264 Ph: (217) 483-2207 |
Dr. Ronald Carter Wenneborg, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 160 Redwing Ct, Chatham, IL 62629 Phone: 217-483-5215 | |
Dr. John Bryan Taylor, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 217-483-1551 Fax: 217-483-6294 | |
Dr. Maurice Eugene Sullivan Iii, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1209 N Main St, #b, Chatham, IL 62629 Phone: 217-483-2207 Fax: 217-483-3248 | |
Dr. Michael Robert Jones, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1209 N Main St, Suite B, Chatham, IL 62629 Phone: 217-483-2207 Fax: 217-483-3248 | |
Jones Chiropractic Sc Chiropractor Medicare: Medicare Enrolled Practice Location: 1209 N Main St, Suite A, Chatham, IL 62629 Phone: 217-483-2207 Fax: 217-483-3248 |