| Joshua Knicker, | |
|
3360 Lacrosse Ln Ste 116, Naperville, IL 60564-8155 | |
| (630) 904-9700 | |
| Not Available |
| Full Name | Joshua Knicker |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 3360 Lacrosse Ln Ste 116, Naperville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548877301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.013590 (Illinois) | Primary |
| Provider Name | Illinois Spinal & Sports Rehabilitation Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275651242 PECOS PAC ID: 7911966379 Enrollment ID: O20041011000188 |
| Provider Name | Lifeclinic Chiropractic Of Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346584513 PECOS PAC ID: 1153600648 Enrollment ID: O20161128002548 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Knicker, 3360 Lacrosse Ln Ste 116, Naperville, IL 60564-8155 Ph: (630) 904-9700 | Joshua Knicker, 3360 Lacrosse Ln Ste 116, Naperville, IL 60564-8155 Ph: (630) 904-9700 |
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Integrated Physical Medicine Of Naperville Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 2155 City Gate Ln Ste 123, Naperville, IL 60563 Phone: 331-249-3999 Fax: 331-249-4029 | |
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