Weston Kenneth Loder, | |
920 W Prairie Dr Ste J, Sycamore, IL 60178-3123 | |
(815) 766-3649 | |
Not Available |
Full Name | Weston Kenneth Loder |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 3 Years |
Location | 920 W Prairie Dr Ste J, Sycamore, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437816295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038.013806 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Keating Chiropractic Pa | 0042408346 | 3 |
Provider Name | Chiropractic Wellness Center Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659455210 PECOS PAC ID: 0244289783 Enrollment ID: O20050121000497 |
Provider Name | Keating Chiropractic Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912209826 PECOS PAC ID: 0042408346 Enrollment ID: O20110103000084 |
Mailing Address | Practice Location Address |
---|---|
Weston Kenneth Loder, 920 W Prairie Dr Ste J, Sycamore, IL 60178-3123 Ph: (815) 766-3649 | Weston Kenneth Loder, 920 W Prairie Dr Ste J, Sycamore, IL 60178-3123 Ph: (815) 766-3649 |
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