| Dr Michael Wayne Childress, DC | |
|
217 E Broadway Blvd, Johnston City, IL 62951-1604 | |
| (618) 983-3900 | |
| (618) 983-3900 |
| Full Name | Dr Michael Wayne Childress |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 217 E Broadway Blvd, Johnston City, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518155886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038011140 (Illinois) | Primary |
| 111N00000X | Chiropractor | 2007030809 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Wayne Childress, DC 217 E Broadway Blvd, Johnston City, IL 62951-1604 Ph: (618) 983-3900 | Dr Michael Wayne Childress, DC 217 E Broadway Blvd, Johnston City, IL 62951-1604 Ph: (618) 983-3900 |
Dr. Robert Donald Martin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 217 E Broadway Blvd, Johnston City, IL 62951 Phone: 619-983-3900 | |
Marvel Chiropractic And Wellness Center Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 417 E Broadway Blvd, Johnston City, IL 62951 Phone: 618-983-8100 Fax: 618-983-8110 |