| Dr Samuel Hendricks, DC | |
|
2000 W Pioneer Pkwy, Suite 18a, Peoria, IL 61615-1835 | |
| (309) 670-2800 | |
| Not Available |
| Full Name | Dr Samuel Hendricks |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 12 Years |
| Location | 2000 W Pioneer Pkwy, Peoria, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609296201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-1598 (Idaho) | Secondary |
| 111N00000X | Chiropractor | 038012554 (Illinois) | Primary |
| Provider Name | Kaufman Wellness Center, Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740497957 PECOS PAC ID: 8921085994 Enrollment ID: O20040707000963 |
| Provider Name | Preferred Care Medical Center Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336554625 PECOS PAC ID: 0749400356 Enrollment ID: O20141002001619 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Hendricks, DC 2000 W Pioneer Pkwy, Suite 18 A, Peoria, IL 61615-1835 Ph: (309) 670-2800 | Dr Samuel Hendricks, DC 2000 W Pioneer Pkwy, Suite 18a, Peoria, IL 61615-1835 Ph: (309) 670-2800 |
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