| Derek Justin Maitland, DC | |
|
906 Lacey Ave, Lisle, IL 60532-1318 | |
| (630) 963-1410 | |
| Not Available |
| Full Name | Derek Justin Maitland |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 906 Lacey Ave, Lisle, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477063147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.013131 (Illinois) | Primary |
| Provider Name | Lisle Chiropratic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154831600 PECOS PAC ID: 2860759107 Enrollment ID: O20171122000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Justin Maitland, DC 538 S Illinois Ave, Villa Park, IL 60181-2960 Ph: (630) 235-6433 | Derek Justin Maitland, DC 906 Lacey Ave, Lisle, IL 60532-1318 Ph: (630) 963-1410 |
Lisle Chiropractic Clinic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1025 Ogden Ave, Lisle, IL 60532 Phone: 630-963-1410 Fax: 630-963-1456 | |
Dr. Sheng Hua, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 3060 Ogden Ave Ste 110, Lisle, IL 60532 Phone: 630-357-7320 | |
Dr. Jennifer Lynn King, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5035 Lincoln Ave Ste 1, Lisle, IL 60532 Phone: 630-999-7432 Fax: 630-214-3150 | |
Vitaliy S. Meyster, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1601 Fairway Dr Apt 1h, Lisle, IL 60532 Phone: 630-400-8109 | |
Dr. Lea Ann Cornish, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1025 Ogden Ave, Lisle, IL 60532 Phone: 630-963-1410 Fax: 630-963-1456 | |
Northstar Integrated Health & Physical Medicine Center, S.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 4513 Lincoln Ave, #212, Lisle, IL 60532 Phone: 630-795-1889 | |
Dupage Family Chiropractic Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3033 Ogden Ave, Suite 112, Lisle, IL 60532 Phone: 630-442-7175 Fax: 630-631-0998 |