| Generations Chiropractic Wellness, Llc | |
|
8115 Fruit Farm Rd Belvidere IL 61008-9075 | |
| (815) 547-6333 | |
| (815) 642-5695 |
| Full Name | Generations Chiropractic Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8115 Fruit Farm Rd, Belvidere, Illinois |
| Authorized Official Name and Position | Samantha Elizabeth Bradley (CLINIC OWNER) |
| Authorized Official Contact | 8155476333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Chiropractic Wellness, Llc 8115 Fruit Farm Rd Belvidere IL 61008-9075 Ph: (815) 547-6333 | Generations Chiropractic Wellness, Llc 8115 Fruit Farm Rd Belvidere IL 61008-9075 Ph: (815) 547-6333 |
| NPI Number | 1811397136 |
|---|---|
| Provider Enumeration Date | 08/25/2014 |
| Last Update Date | 10/29/2019 |
| Medicare PECOS PAC ID | 6901025725 |
|---|---|
| Medicare Enrollment ID | O20140910000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811397136 | NPI | - | NPPES |
| 5090934 | Other | IL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 038012666 (Illinois) | Primary |
| Provider Name | Samantha Elizabeth Bradley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639587942 PECOS PAC ID: 7719106533 Enrollment ID: I20140910000024 |
Preston Scott Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1906 Pierce Ct, Belvidere, IL 61008 Phone: 815-547-9737 Fax: 815-547-9740 | |
Shobha S Iyengar, Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2186 Unit 1, North State Street, Belvidere, IL 61008 Phone: 815-547-5007 | |
L Robert Warren Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Cadillac Ct Ste 6, Belvidere, IL 61008 Phone: 815-544-0444 Fax: 815-544-0652 | |
Clayton R. Malaker, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 824 Van Buren St, Belvidere, IL 61008 Phone: 815-544-3481 | |
Swedishamerican Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1320 East Ave, Belvidere, IL 61008 Phone: 779-696-3000 | |
Walgreen Co./ill. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W Chrysler Dr, Belvidere, IL 61008 Phone: 815-544-4790 | |
Osfmg - Belvidere Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Kishwaukee St, Belvidere, IL 61008 Phone: 800-589-6070 Fax: 309-683-5969 |