Uptown Chiropractic Center Llc | |
1914 16th St, Moline, IL 61265-3953 | |
(309) 762-1002 | |
(309) 736-3484 |
Full Name | Uptown Chiropractic Center Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1914 16th St, Moline, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033374111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Michael John Herrick |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1457348740 PECOS PAC ID: 2860451267 Enrollment ID: I20041008001403 |
Mailing Address | Practice Location Address |
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Uptown Chiropractic Center Llc 1914 16th St, Moline, IL 61265-3953 Ph: (309) 762-1002 | Uptown Chiropractic Center Llc 1914 16th St, Moline, IL 61265-3953 Ph: (309) 762-1002 |
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