| Engel Chiropractic Ltd. | |
|
108 E Church St Salem IL 62881-3001 | |
| (618) 548-5255 | |
| (618) 548-4625 |
| Full Name | Engel Chiropractic Ltd. |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 E Church St, Salem, Illinois |
| Authorized Official Name and Position | Creighton Engel (PRESIDENT) |
| Authorized Official Contact | 6185485255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Engel Chiropractic Ltd. 108 E Church St Salem IL 62881-3001 Ph: (618) 548-5255 | Engel Chiropractic Ltd. 108 E Church St Salem IL 62881-3001 Ph: (618) 548-5255 |
| NPI Number | 1790050581 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 03/13/2012 |
| Medicare PECOS PAC ID | 1557526241 |
|---|---|
| Medicare Enrollment ID | O20120702000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790050581 | NPI | - | NPPES |
| 0006182006 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 038.003670 (Illinois) | Primary |
| Provider Name | Creighton Van Engel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750460796 PECOS PAC ID: 6002071792 Enrollment ID: I20120702000369 |
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