| Landgrebe Chiropractic Pc | |
|
6828 171st St Suite B Tinley Park IL 60477-3724 | |
| (708) 429-4332 | |
| Not Available |
| Full Name | Landgrebe Chiropractic Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6828 171st St, Tinley Park, Illinois |
| Authorized Official Name and Position | Charles Michael Landgrebe (CHIROPRACTOR) |
| Authorized Official Contact | 2698611789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Landgrebe Chiropractic Pc 6828 171st St Suite B Tinley Park IL 60477-3724 Ph: (708) 429-4332 | Landgrebe Chiropractic Pc 6828 171st St Suite B Tinley Park IL 60477-3724 Ph: (708) 429-4332 |
| NPI Number | 1528237294 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 02/27/2008 |
| Medicare PECOS PAC ID | 5991884454 |
|---|---|
| Medicare Enrollment ID | O20080508000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528237294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
| Provider Name | Charles M Landgrebe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427227776 PECOS PAC ID: 1759460215 Enrollment ID: I20080508000500 |
| Provider Name | Alexis Motria Kraus Landgrebe |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518136654 PECOS PAC ID: 8426137985 Enrollment ID: I20150707000693 |
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