Wellspring Chiropractic & Rehabilitation, Ltd. | |
11901 S 80th Ave, Suite 1, Palos Park, IL 60464-3102 | |
(708) 923-9400 | |
(708) 923-9402 |
Full Name | Wellspring Chiropractic & Rehabilitation, Ltd. |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 11901 S 80th Ave, Palos Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205986924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (Illinois) | Primary |
111N00000X | Chiropractor | (Illinois) | Secondary |
Provider Name | Greganthony A Cleofe |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1003926379 PECOS PAC ID: 3870555451 Enrollment ID: I20041027000713 |
Mailing Address | Practice Location Address |
---|---|
Wellspring Chiropractic & Rehabilitation, Ltd. 11901 S 80th Ave, Suite 1, Palos Park, IL 60464-3102 Ph: (708) 923-9400 | Wellspring Chiropractic & Rehabilitation, Ltd. 11901 S 80th Ave, Suite 1, Palos Park, IL 60464-3102 Ph: (708) 923-9400 |
Dr. Greganthony A Cleofe, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 11901 S 80th Ave, Suite 1, Palos Park, IL 60464 Phone: 708-923-9400 Fax: 708-923-9402 | |
Kemet Chiropractic & Wellness, S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13011 S 104th Ave, 207, Palos Park, IL 60464 Phone: 847-456-2417 | |
Dr. Kiann T Cleofe, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11901 S 80th Ave, Suite 1, Palos Park, IL 60464 Phone: 708-923-9400 Fax: 708-923-9402 |