| Rafool Pc | |
|
351 Rusche St, Creve Coeur, IL 61610-3185 | |
| (309) 694-3565 | |
| (309) 694-3652 |
| Full Name | Rafool Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 351 Rusche St, Creve Coeur, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215940119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38-006151 (Illinois) | Primary |
| Provider Name | Brian E Rafool |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275505091 PECOS PAC ID: 3173516176 Enrollment ID: I20040406000572 |
| Provider Name | Taylor Bradley Rafool |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902288491 PECOS PAC ID: 8527379023 Enrollment ID: I20150625000302 |
| Mailing Address | Practice Location Address |
|---|---|
| Rafool Pc 351 Rusche St, Creve Coeur, IL 61610-3185 Ph: (309) 694-3565 | Rafool Pc 351 Rusche St, Creve Coeur, IL 61610-3185 Ph: (309) 694-3565 |
Dr. Brian E Rafool, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 351 Rusche St, Creve Coeur, IL 61610 Phone: 309-694-3565 | |
Taylor Rafool, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 351 Rusche St, Creve Coeur, IL 61610 Phone: 309-694-3565 Fax: 309-694-3652 | |
Dr. Dennis Lane Conway, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 200 N Highland St, Creve Coeur, IL 61610 Phone: 309-694-3565 |