| Dr Laurie Robert Mestdagh, DC | |
|
1550 N Main St, Columbia, IL 62236-1070 | |
| (618) 281-6167 | |
| (618) 281-4444 |
| Full Name | Dr Laurie Robert Mestdagh |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1550 N Main St, Columbia, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417006859 | NPI | - | NPPES |
| 038009443 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038009443 (Illinois) | Primary |
| Provider Name | Mestdagh Chiropractic Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801192554 PECOS PAC ID: 5890972343 Enrollment ID: O20110609000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laurie Robert Mestdagh, DC 1550 N Main St, Columbia, IL 62236-1070 Ph: (618) 281-6167 | Dr Laurie Robert Mestdagh, DC 1550 N Main St, Columbia, IL 62236-1070 Ph: (618) 281-6167 |
Dr. Kathleen Mcauliffe, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 109 Wedgewood Drive, Columbia, IL 62236 Phone: 618-281-7171 Fax: 618-281-7666 | |
Kimberly Faye Williams, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 200 Kosciusco St, Columbia, IL 62236 Phone: 303-506-6495 | |
Nobbe Chiropractic Office Ltd. Chiropractor Medicare: Medicare Enrolled Practice Location: 301 Mccrosky Professional Park, Columbia, IL 62236 Phone: 618-281-4000 Fax: 618-281-5558 | |
William H. Northern, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1005 South Main St., Suite A, Columbia, IL 62236 Phone: 618-719-2350 Fax: 618-234-8295 | |
Dr. Mary F Blair, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 207 N Main St, Suite 103, Columbia, IL 62236 Phone: 618-281-9202 Fax: 618-281-9203 | |
Dr. Todd James Nobbe, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 301 Mccrosky Professional Park, Columbia, IL 62236 Phone: 618-281-4000 Fax: 618-281-5558 | |
Chiropractical Solutions Of Il Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1005c S Main St, Columbia, IL 62236 Phone: 618-281-1122 |