| Stacey A Cline Dc S.c. | |
|
55 S Main St Suite 294 Naperville IL 60540-5372 | |
| (630) 428-2000 | |
| Not Available |
| Full Name | Stacey A Cline Dc S.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 55 S Main St, Naperville, Illinois |
| Authorized Official Name and Position | Stacey A Cline (CHIROPRACTOR) |
| Authorized Official Contact | 5635031037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey A Cline Dc S.c. 0s501 Preston Cir Geneva IL 60134-6147 Ph: (563) 503-1037 | Stacey A Cline Dc S.c. 55 S Main St Suite 294 Naperville IL 60540-5372 Ph: (630) 428-2000 |
| NPI Number | 1376941088 |
|---|---|
| Provider Enumeration Date | 12/11/2014 |
| Last Update Date | 01/04/2016 |
| Medicare PECOS PAC ID | 3678872504 |
|---|---|
| Medicare Enrollment ID | O20160427002474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376941088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 038011454 (Illinois) | Primary |
| Provider Name | Stacey A Cline |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891021515 PECOS PAC ID: 0840476362 Enrollment ID: I20110718000737 |
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