| Dr Leslie J Botta, DC | |
|
43 W Second St, Manteno, IL 60950-1240 | |
| (815) 200-4362 | |
| Not Available |
| Full Name | Dr Leslie J Botta |
|---|---|
| Gender | Female |
| Speciality | Chiropractic |
| Experience | 33 Years |
| Location | 43 W Second St, Manteno, 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 |
|---|---|---|---|
| 1669744306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 007407-1 (New York) | Secondary |
| 111N00000X | Chiropractor | 038012127 (Illinois) | Primary |
| Provider Name | Manteno Chiropractic & Wellness Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346839768 PECOS PAC ID: 2466865118 Enrollment ID: O20210119002150 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leslie J Botta, DC 43 W Second St, Manteno, IL 60950-1240 Ph: (815) 200-4362 | Dr Leslie J Botta, DC 43 W Second St, Manteno, IL 60950-1240 Ph: (815) 200-4362 |
Sample Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 51 N Main St, Manteno, IL 60950 Phone: 815-468-7787 Fax: 815-468-0154 | |
Dr. Michael W Sample, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 51 N Main St, Manteno, IL 60950 Phone: 815-468-7787 Fax: 815-468-0154 | |
Manteno Chiropractic & Wellness Center Chiropractor Medicare: Medicare Enrolled Practice Location: 43 W Second St, Manteno, IL 60950 Phone: 815-200-4362 | |
Sample Chiropractic, Ltd. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 51 N Main St, Manteno, IL 60950 Phone: 815-468-7787 Fax: 815-468-0154 | |
Dr. Dawn M Sample, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 51 N Main St, Manteno, IL 60950 Phone: 815-468-8403 Fax: 815-468-0154 |