| Dr James T Liles, DC | |
|
238 W Main St, Lena, IL 61048-0424 | |
| (815) 369-4974 | |
| (815) 369-4975 |
| Full Name | Dr James T Liles |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 238 W Main St, Lena, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972574689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Provider Name | Liles Chiropractic Clinic Ltd. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881768737 PECOS PAC ID: 0143365957 Enrollment ID: O20100304000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James T Liles, DC Po Box 424, Lena, IL 61048-0424 Ph: (815) 369-4974 | Dr James T Liles, DC 238 W Main St, Lena, IL 61048-0424 Ph: (815) 369-4974 |
Dr. Bradley Brunner, DC, CCSP Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 214 Rousch St, Lena, IL 61048 Phone: 843-609-5944 | |
Dr. Jared T. Liles, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 238 W Main St, Lena, IL 61048 Phone: 815-369-4974 | |
Midwest Modern Health Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 101 E Lena St, Lena, IL 61048 Phone: 815-291-2282 | |
Liles Chiropractic Clinic Ltd. Chiropractor Medicare: Medicare Enrolled Practice Location: 238 W Main St., Lena, IL 61048 Phone: 815-369-4974 Fax: 815-369-4975 |