| B E Williamson Dc Pc | |
|
100 W Roosevelt Rd Suite A4-104 Wheaton IL 60187-5260 | |
| (630) 682-0575 | |
| (630) 682-0581 |
| Full Name | B E Williamson Dc Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 W Roosevelt Rd, Wheaton, Illinois |
| Authorized Official Name and Position | Barry Edward Williamson (PRESIDENT) |
| Authorized Official Contact | 6306820575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B E Williamson Dc Pc 100 W Roosevelt Rd Suite A4-104 Wheaton IL 60187-5260 Ph: (630) 682-0575 | B E Williamson Dc Pc 100 W Roosevelt Rd Suite A4-104 Wheaton IL 60187-5260 Ph: (630) 682-0575 |
| NPI Number | 1295981264 |
|---|---|
| Provider Enumeration Date | 08/11/2008 |
| Last Update Date | 08/11/2008 |
| Medicare PECOS PAC ID | 8022182252 |
|---|---|
| Medicare Enrollment ID | O20080805000802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295981264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 038003694 (Illinois) | Primary |
| Provider Name | Barry E Williamson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023135985 PECOS PAC ID: 8224102454 Enrollment ID: I20080805000782 |
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