| Chiro One Wellness Center Of St. Charles Llc | |
|
546 S Randall Rd Ste F, St Charles, IL 60174-5914 | |
| (630) 443-0400 | |
| (630) 443-0456 |
| Full Name | Chiro One Wellness Center Of St. Charles Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 546 S Randall Rd Ste F, St Charles, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467494930 | NPI | - | NPPES |
| 04532305 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Lacie Drennan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245761436 PECOS PAC ID: 8325377047 Enrollment ID: I20190905002494 |
| Provider Name | Maia Sharashidze |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568114940 PECOS PAC ID: 6103207733 Enrollment ID: I20220713004115 |
| Provider Name | Jonathan Thao |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922807098 PECOS PAC ID: 9638691934 Enrollment ID: I20250317000609 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiro One Wellness Center Of St. Charles Llc 2625 Butterfield Rd, Suite 301n, Oak Brook, IL 60523-1234 Ph: (630) 468-1824 | Chiro One Wellness Center Of St. Charles Llc 546 S Randall Rd Ste F, St Charles, IL 60174-5914 Ph: (630) 443-0400 |
Dr. Kalli Ann Prater, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 113 N 2nd Ave, St Charles, IL 60174 Phone: 630-762-9864 | |
Dr. Jack Richard Martin, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1601 East Main Street, Suite 1b, St Charles, IL 60174 Phone: 630-377-4955 Fax: 630-377-4958 | |
Dr. Jacqueline Marie Williams, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 418 S 2nd St, St Charles, IL 60174 Phone: 630-377-1120 | |
Dr. Jon Chavez, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 40w131 Campton Crossings Dr, Unit C, St Charles, IL 60175 Phone: 630-715-9192 | |
Evolve Chiropractic Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 451 Dunham Rd, Suite G, St Charles, IL 60174 Phone: 224-250-3526 | |
Dr. Mary C Gensler, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 525 Tyler Rd Ste S, St Charles, IL 60174 Phone: 331-901-5672 | |
Medlink Wellness Center Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1601 E Main St, Suite D, St Charles, IL 60174 Phone: 630-377-7505 Fax: 630-377-7532 |