Dr Kimberly Conn Fletcher, DC | |
840 S Waukegan Rd, Suite 201, Lake Forest, IL 60045-2608 | |
(224) 544-5033 | |
Not Available |
Full Name | Dr Kimberly Conn Fletcher |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 14 Years |
Location | 840 S Waukegan Rd, Lake Forest, 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 |
---|---|---|---|
1457658304 | NPI | - | NPPES |
038011833 | Other | IL | ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION |
4720012 | Other | WI | WISCONSIN DEPARTMENT OF REGULATION AND LICENSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4720012 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fletcher Chiropractic Office Sc | 4385894823 | 4 |
Provider Name | Fletcher Chiropractic Office Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578825535 PECOS PAC ID: 4385894823 Enrollment ID: O20121018000675 |
Mailing Address | Practice Location Address |
---|---|
Dr Kimberly Conn Fletcher, DC 840 S Waukegan Rd, Suite 201, Lake Forest, IL 60045-2608 Ph: (224) 544-5033 | Dr Kimberly Conn Fletcher, DC 840 S Waukegan Rd, Suite 201, Lake Forest, IL 60045-2608 Ph: (224) 544-5033 |
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