| Brightlife Regenerative Medical Clinic Lombard Sc | |
|
442 E Roosevelt Rd Lombard IL 60148-4630 | |
| (630) 261-0001 | |
| Not Available |
| Full Name | Brightlife Regenerative Medical Clinic Lombard Sc |
|---|---|
| Speciality | General Practice |
| Location | 442 E Roosevelt Rd, Lombard, Illinois |
| Authorized Official Name and Position | Steven Burlison (PRESIDENT) |
| Authorized Official Contact | 6302610001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightlife Regenerative Medical Clinic Lombard Sc 442 E Roosevelt Rd Lombard IL 60148-4630 Ph: (630) 261-0001 | Brightlife Regenerative Medical Clinic Lombard Sc 442 E Roosevelt Rd Lombard IL 60148-4630 Ph: (630) 261-0001 |
| NPI Number | 1306465786 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 04/17/2020 |
| Medicare PECOS PAC ID | 5395175970 |
|---|---|
| Medicare Enrollment ID | O20200422001751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306465786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Therese E Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366082927 PECOS PAC ID: 7012345432 Enrollment ID: I20200318002632 |
| Provider Name | James Sronkoski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528565017 PECOS PAC ID: 2466866629 Enrollment ID: I20210128002751 |
Thrive Life Wellness Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 E Janata Blvd Ste 340, Lombard, IL 60148 Phone: 331-300-1440 Fax: 949-655-5827 | |
Castello Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2340 S Highland Ave, Suite 370, Lombard, IL 60148 Phone: 630-620-9500 Fax: 630-620-6541 | |
Schaumburg Primary Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 S Main St, Suite 105, Lombard, IL 60148 Phone: 773-744-7864 | |
Amazehealth Weight Loss & Wellness, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2340 S Highland Ave, Suite 370, Lombard, IL 60148 Phone: 630-873-5245 | |
Illinois Home Physicians Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 E Harrison Rd, Lombard, IL 60148 Phone: 630-212-5338 | |
Ravi Medical Group Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2340 S Highland Ave, Suite 260, Lombard, IL 60148 Phone: 630-889-2000 Fax: 630-889-2299 | |
Chicago Midwest Geriatrics Physicians Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2s633 Briarcliff Ct, Lombard, IL 60148 Phone: 630-981-7250 |