| Dr Cori Michelle Wiedrich, DC | |
|
2031 E Grand Ave Ste 301, Lindenhurst, IL 60046-9094 | |
| (224) 643-7281 | |
| (847) 589-0746 |
| Full Name | Dr Cori Michelle Wiedrich |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 2031 E Grand Ave Ste 301, Lindenhurst, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346433208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.010834 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 3324 (South Carolina) | Secondary |
| 111N00000X | Chiropractor | 038010834 (Illinois) | Primary |
| Provider Name | Jldc Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629576954 PECOS PAC ID: 0244585271 Enrollment ID: O20180615001317 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cori Michelle Wiedrich, DC 2031 E Grand Ave Ste 301, Lindenhurst, IL 60046-9094 Ph: (224) 643-7281 | Dr Cori Michelle Wiedrich, DC 2031 E Grand Ave Ste 301, Lindenhurst, IL 60046-9094 Ph: (224) 643-7281 |
Dr. Scott E Schichtl, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1678 Natures Way, Lindenhurst, IL 60046 Phone: 815-978-8037 | |
Northern Illinois Chiropractic Ltd Chiropractor Medicare: Medicare Enrolled Practice Location: 2045 Grand Avenue, Lindenhurst, IL 60046 Phone: 847-265-8880 Fax: 847-265-8882 | |
Midwest Neuro Dx, S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1678 Natures Way, Lindenhurst, IL 60046 Phone: 847-504-9352 Fax: 847-892-4140 | |
Dr. Thomas Gerard Collins, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2045 E Grand Ave, Lindenhurst, IL 60046 Phone: 847-265-8880 Fax: 847-265-8882 | |
Dr. Nathan Evan Wiedrich, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2031 E Grand Ave Ste 301, Lindenhurst, IL 60046 Phone: 843-906-0090 Fax: 843-906-0090 | |
Advanced Chiropractic & Acupuncture Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2450 E Grass Lake Rd, Lindenhurst, IL 60046 Phone: 847-245-3202 Fax: 847-245-3203 |