Underwood Chiropractic L.l.c. | |
787 Sunset Blvd, Suite 200, O Fallon, IL 62269-1960 | |
(618) 624-2400 | |
Not Available |
Full Name | Underwood Chiropractic L.l.c. |
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Type | Facility |
Speciality | Chiropractor |
Location | 787 Sunset Blvd, O Fallon, 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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1679730568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 038011164 (Illinois) | Primary |
Provider Name | Scott R Underwood |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1508033960 PECOS PAC ID: 0143286039 Enrollment ID: I20090120000315 |
Provider Name | Lindsey Nicole Langendorf |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1104348085 PECOS PAC ID: 8921379694 Enrollment ID: I20170810000577 |
Mailing Address | Practice Location Address |
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Underwood Chiropractic L.l.c. 787 Sunset Blvd, Suite 200, O Fallon, IL 62269-1960 Ph: (618) 624-2400 | Underwood Chiropractic L.l.c. 787 Sunset Blvd, Suite 200, O Fallon, IL 62269-1960 Ph: (618) 624-2400 |
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