| Gerardo Moncada, DC | |
|
1117 Emerson St, Evanston, IL 60201-3131 | |
| (847) 869-1773 | |
| (847) 869-2733 |
| Full Name | Gerardo Moncada |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1117 Emerson St, Evanston, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902515562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038013932 (Illinois) | Primary |
| Provider Name | Wellness Revolution Chiropractic & Acupuncture Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710035183 PECOS PAC ID: 4981669678 Enrollment ID: O20041122000878 |
| Mailing Address | Practice Location Address |
|---|---|
| Gerardo Moncada, DC 1117 Emerson St, Evanston, IL 60201-3131 Ph: (847) 869-1773 | Gerardo Moncada, DC 1117 Emerson St, Evanston, IL 60201-3131 Ph: (847) 869-1773 |
Chiropractic Health Management, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1018 Davis St, 2nd Floor, Evanston, IL 60201 Phone: 847-400-7599 | |
Dr. Heather Noelle Mantey, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1318 Chicago Ave, Evanston, IL 60201 Phone: 847-475-4960 Fax: 847-475-4966 | |
Dr. Vincent James Kamholtz Roberts, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 817 Chicago Ave Apt 5, Evanston, IL 60202 Phone: 773-425-8333 | |
George R Brown, DC CCN Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 500 Davis St, Suite 815, Evanston, IL 60201 Phone: 847-425-9120 Fax: 847-425-9125 | |
Dr. Ashlin Joseph Gasiorowski, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1954 Dempster St, Evanston, IL 60202 Phone: 847-475-4545 Fax: 847-475-1371 | |
Dr. Anthony L Breitbach, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1117 Emerson St, Evanston, IL 60201 Phone: 847-869-1772 Fax: 847-869-2733 | |
Osar Consulting Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 800 Austin St, West Tower, Suite 308, Evanston, IL 60202 Phone: 773-343-4012 |