| Ascend Performance And Recovery Llc | |
|
970 E 9th St, Lockport, IL 60441-3235 | |
| (815) 690-5218 | |
| Not Available |
| Full Name | Ascend Performance And Recovery Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 970 E 9th St, Lockport, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669310694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Michael W Hall |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144614587 PECOS PAC ID: 1557690138 Enrollment ID: I20190906001298 |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend Performance And Recovery Llc 970 E 9th St, Lockport, IL 60441-3235 Ph: (815) 690-5218 | Ascend Performance And Recovery Llc 970 E 9th St, Lockport, IL 60441-3235 Ph: (815) 690-5218 |
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