| Restorative Health Center S.c. | |
|
1227 N Illinois Route 83 Suite A Grayslake IL 60030 | |
| (847) 548-4800 | |
| Not Available |
| Full Name | Restorative Health Center S.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1227 N Illinois Route 83, Grayslake, Illinois |
| Authorized Official Name and Position | Crystal Regina Surprenant (MEMBER MANAGER/OWNER) |
| Authorized Official Contact | 8476514921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Health Center S.c. 1227 N Illinois Rt 83 Suite A Grayslake IL 60030 Ph: (847) 548-4800 | Restorative Health Center S.c. 1227 N Illinois Route 83 Suite A Grayslake IL 60030 Ph: (847) 548-4800 |
| NPI Number | 1184163628 |
|---|---|
| Provider Enumeration Date | 02/16/2017 |
| Last Update Date | 02/16/2017 |
| Medicare PECOS PAC ID | 9436436862 |
|---|---|
| Medicare Enrollment ID | O20170511001912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184163628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 038.012253 (Illinois) | Primary |
| Provider Name | Crystal R Surprenant |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992058747 PECOS PAC ID: 4587801410 Enrollment ID: I20130513000242 |
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