| Maia Sharashidze, DC | |
|
1655 N Arlington Heights Rd Ste 101w, Arlington Heights, IL 60004-3976 | |
| (847) 870-8955 | |
| Not Available |
| Full Name | Maia Sharashidze |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 1655 N Arlington Heights Rd Ste 101w, Arlington Heights, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568114940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038013833 (Illinois) | Primary |
| Provider Name | Chiro One Wellness Center Of St. Charles Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467494930 PECOS PAC ID: 1153329297 Enrollment ID: O20061128000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Maia Sharashidze, DC 1655 N Arlington Heights Rd Ste 101w, Arlington Heights, IL 60004-3976 Ph: (847) 870-8955 | Maia Sharashidze, DC 1655 N Arlington Heights Rd Ste 101w, Arlington Heights, IL 60004-3976 Ph: (847) 870-8955 |
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