| Koah Chiropractic Llc | |
|
600 S Weber Rd Ste 9a, Romeoville, IL 60446-5065 | |
| (815) 293-3000 | |
| Not Available |
| Full Name | Koah Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 600 S Weber Rd Ste 9a, Romeoville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316773666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Kenneth Ross Ellul |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1831733310 PECOS PAC ID: 2062846454 Enrollment ID: I20250213001529 |
| Mailing Address | Practice Location Address |
|---|---|
| Koah Chiropractic Llc 600 S Weber Rd Ste 9, Romeoville, IL 60446-5065 Ph: (815) 293-3000 | Koah Chiropractic Llc 600 S Weber Rd Ste 9a, Romeoville, IL 60446-5065 Ph: (815) 293-3000 |
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