| Loren Davis, DC | |
|
16622 W. 159th St., Suite 500, Lockport, IL 60441-8015 | |
| (815) 838-7746 | |
| (815) 838-5090 |
| Full Name | Loren Davis |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 28 Years |
| Location | 16622 W. 159th St., Lockport, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891917795 | NPI | - | NPPES |
| P00864465 | Other | PTAN | |
| 9932868 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038008320 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chicago Anti Aging Institute Sc | 7113253576 | 2 |
| Provider Name | Chicago Anti Aging Institute Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003376245 PECOS PAC ID: 7113253576 Enrollment ID: O20190724000691 |
| Mailing Address | Practice Location Address |
|---|---|
| Loren Davis, DC 16622 W. 159th St., Suite 500, Lockport, IL 60441-8015 Ph: (815) 838-7746 | Loren Davis, DC 16622 W. 159th St., Suite 500, Lockport, IL 60441-8015 Ph: (815) 838-7746 |
Life Purpose Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1110 E 9th St, Lockport, IL 60441 Phone: 773-842-9092 | |
Justine Johnson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 360 Summit Dr, Lockport, IL 60441 Phone: 815-838-9441 Fax: 815-838-3401 | |
Dr. Gerald A Vercellotti, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1000 S Hamilton St, Lockport, IL 60441 Phone: 815-838-4921 Fax: 815-838-9650 | |
Angelica Wujcik, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 420 Summit Drive, Lockport, IL 60441 Phone: 815-838-9441 | |
Chicago Spine Institute Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16622 W 159th St Ste 500, Lockport, IL 60441 Phone: 815-838-7746 | |
Shark's Eye Establishment Corp. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16626 W 159th St, Suite 700, Lockport, IL 60441 Phone: 815-834-9075 Fax: 815-834-9077 | |
For All Chiropractic Nfp Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 16626 W. 159th St #700, Lockport, IL 60441 Phone: 773-842-9092 |