| Chiropractic Associates Of Kankakee Inc | |
|
53 N Main St Manteno IL 60950-1534 | |
| (815) 468-7787 | |
| (815) 468-0154 |
| Full Name | Chiropractic Associates Of Kankakee Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 53 N Main St, Manteno, Illinois |
| Authorized Official Name and Position | Brent Wayne Adams (CHIROPRACTIC PHYSICIAN / PRESIDENT) |
| Authorized Official Contact | 8154687787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropractic Associates Of Kankakee Inc 53 N Main St Manteno IL 60950-1534 Ph: (815) 468-7787 | Chiropractic Associates Of Kankakee Inc 53 N Main St Manteno IL 60950-1534 Ph: (815) 468-7787 |
| NPI Number | 1649417593 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 10/15/2009 |
| Medicare PECOS PAC ID | 0840340121 |
|---|---|
| Medicare Enrollment ID | O20090608000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649417593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 038010846 (Illinois) | Primary |
| Provider Name | Noel C Davis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1831212992 PECOS PAC ID: 2264401223 Enrollment ID: I20040928000256 |
| Provider Name | Brent W Adams |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992854251 PECOS PAC ID: 5092717793 Enrollment ID: I20070209000035 |
Pinnacle Gastroenterology Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 N Main St, Manteno, IL 60950 Phone: 833-368-8688 Fax: 779-216-5333 |