| Lifeclinic Chiropractic Of Illinois Llc | |
|
2000 Oakbrook Ctr, Oak Brook, IL 60523-9002 | |
| (630) 203-5458 | |
| Not Available |
| Full Name | Lifeclinic Chiropractic Of Illinois Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2000 Oakbrook Ctr, Oak Brook, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346584513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.12283 (Illinois) | Primary |
| Provider Name | Landon Bruner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669958278 PECOS PAC ID: 0840531778 Enrollment ID: I20190403000073 |
| Provider Name | Evan Charles Mojica |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548861347 PECOS PAC ID: 2466863527 Enrollment ID: I20201120000350 |
| Provider Name | Joshua Tod Knicker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548877301 PECOS PAC ID: 3870905912 Enrollment ID: I20201215001801 |
| Provider Name | Michael Stephen Bettale |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861915209 PECOS PAC ID: 9638582315 Enrollment ID: I20210120000577 |
| Provider Name | Shane Bruni |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285330886 PECOS PAC ID: 6800269044 Enrollment ID: I20230308002574 |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeclinic Chiropractic Of Illinois Llc Po Box 549, Chanhassen, MN 55317-0549 Ph: (952) 229-7558 | Lifeclinic Chiropractic Of Illinois Llc 2000 Oakbrook Ctr, Oak Brook, IL 60523-9002 Ph: (630) 203-5458 |
Scott M Cruse, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2210 Camden Ct, Oak Brook, IL 60523 Phone: 630-468-1820 Fax: 630-468-1823 | |
Dr. Matthew Ryan Greenberg, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1100 Jorie Blvd Ste 318, Oak Brook, IL 60523 Phone: 630-828-2271 | |
Dr. Kevin M. Connolly, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 900 Jorie Blvd, Suite 104, Oak Brook, IL 60523 Phone: 630-574-0422 Fax: 630-574-1002 | |
Dr. Brian Rutecki, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2625 Butterfield Rd, Ste 301n, Oak Brook, IL 60523 Phone: 630-320-6400 Fax: 630-701-1007 | |
Carlette Martin, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2210 Camden Ct, Oak Brook, IL 60523 Phone: 630-468-1820 Fax: 630-701-1007 | |
Mustafa Syed, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2210 Camden Ct, Oak Brook, IL 60523 Phone: 630-468-1824 | |
Curtis Kempel, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523 Phone: 630-568-5942 |