| Cevene Care Clinic, Inc | |
|
6451 E Riverside Blvd #103 Rockford IL 61114-4421 | |
| (815) 639-9900 | |
| (815) 639-9860 |
| Full Name | Cevene Care Clinic, Inc |
|---|---|
| Speciality | Chiropractor |
| Location | 6451 E Riverside Blvd, Rockford, Illinois |
| Authorized Official Name and Position | Angela Ruf (MANAGER) |
| Authorized Official Contact | 8156399900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cevene Care Clinic, Inc 6451 E Riverside Blvd #103 Rockford IL 61114-4421 Ph: (815) 639-9900 | Cevene Care Clinic, Inc 6451 E Riverside Blvd #103 Rockford IL 61114-4421 Ph: (815) 639-9900 |
| NPI Number | 1568580843 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 04/18/2016 |
| Medicare PECOS PAC ID | 0446208458 |
|---|---|
| Medicare Enrollment ID | O20050106000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568580843 | NPI | - | NPPES |
| 210693 | Other | IL | MEDICARE GROUP # |
| Provider Name | Mark R Hedberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740208560 PECOS PAC ID: 0446200836 Enrollment ID: I20050124000719 |
| Provider Name | Jason Patrick Croxford |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922093467 PECOS PAC ID: 8426096074 Enrollment ID: I20050422001002 |
| Provider Name | Denise Crute |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346272747 PECOS PAC ID: 1456250380 Enrollment ID: I20060814000265 |
| Provider Name | Joe Osaben |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1821026147 PECOS PAC ID: 9032126800 Enrollment ID: I20070920000151 |
| Provider Name | Dawn M Mansfield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528480241 PECOS PAC ID: 0648493775 Enrollment ID: I20140519001113 |
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