Engel Chiropractic Ltd. | |
108 E Church St Salem IL 62881-3001 | |
(618) 548-5255 | |
(618) 548-4625 |
Full Name | Engel Chiropractic Ltd. |
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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 |
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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 |
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Provider Enumeration Date | 03/13/2012 |
Last Update Date | 03/13/2012 |
Medicare PECOS PAC ID | 1557526241 |
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Medicare Enrollment ID | O20120702000356 |
Identifier | Type | State | Issuer |
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1790050581 | NPI | - | NPPES |
0006182006 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 038.003670 (Illinois) | Primary |
Provider Name | Creighton Van Engel |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1750460796 PECOS PAC ID: 6002071792 Enrollment ID: I20120702000369 |
Anton Dubrick Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W Schwartz St, Salem, IL 62881 Phone: 618-740-4667 Fax: 618-740-1482 | |