| Dr Emily J Odom, DC | |
|
110 W Saint Louis St, Lebanon, IL 62254-1559 | |
| (618) 537-4407 | |
| Not Available |
| Full Name | Dr Emily J Odom |
|---|---|
| Gender | Female |
| Speciality | Chiropractic |
| Experience | 10 Years |
| Location | 110 W Saint Louis St, Lebanon, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275990780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2016000621 (Missouri) | Secondary |
| 111N00000X | Chiropractor | 038.012921 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lebanon Healthcare Llc | 3476094665 | 3 |
| Chiropractic Family Wellness Center Llc | 0547692071 | 4 |
| Provider Name | Lebanon Healthcare Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427892090 PECOS PAC ID: 3476094665 Enrollment ID: O20240916000199 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Emily J Odom, DC 110 W Saint Louis St, Lebanon, IL 62254-1559 Ph: (618) 972-0905 | Dr Emily J Odom, DC 110 W Saint Louis St, Lebanon, IL 62254-1559 Ph: (618) 537-4407 |
Lebanon Healthcare Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 110 W Saint Louis St, Lebanon, IL 62254 Phone: 618-654-4520 Fax: 618-654-1063 | |
Lebanon Chiropractic Clinic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 110 W Saint Louis St, Lebanon, IL 62254 Phone: 618-537-4407 | |
Dr. Dale A Fischer, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 110 W Saint Louis St, Lebanon, IL 62254 Phone: 618-537-4407 Fax: 618-537-4409 |