| Serenity Chiropractic Limited | |
|
944 E 162nd St South Holland IL 60473-2442 | |
| (708) 362-0436 | |
| Not Available |
| Full Name | Serenity Chiropractic Limited |
|---|---|
| Speciality | Clinic/Center |
| Location | 944 E 162nd St, South Holland, Illinois |
| Authorized Official Name and Position | Sikirat Ajoke Yusuf (OWNER) |
| Authorized Official Contact | 7083620436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Chiropractic Limited 15504 Dobson Ave Dolton IL 60419-2709 Ph: (708) 891-2006 | Serenity Chiropractic Limited 944 E 162nd St South Holland IL 60473-2442 Ph: (708) 362-0436 |
| NPI Number | 1700122819 |
|---|---|
| Provider Enumeration Date | 12/17/2012 |
| Last Update Date | 04/17/2014 |
| Medicare PECOS PAC ID | 0749412161 |
|---|---|
| Medicare Enrollment ID | O20140416001943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700122819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 038009479 (Illinois) | Primary |
| Provider Name | Sikirat A Yusuf |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952307761 PECOS PAC ID: 6709949027 Enrollment ID: I20090113000779 |
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