| Marty Chiropractic Wellness Center, P.c. | |
|
1310 N Il Rt 251, Lostant, IL 61334-0207 | |
| (815) 368-3421 | |
| (815) 368-3404 |
| Full Name | Marty Chiropractic Wellness Center, P.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1310 N Il Rt 251, Lostant, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750554010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Illinois) | Secondary |
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Provider Name | Rhonda J Marty Anderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821187493 PECOS PAC ID: 8628087897 Enrollment ID: I20060417000404 |
| Provider Name | Eric Wayne Anderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063505071 PECOS PAC ID: 6800805078 Enrollment ID: I20060417000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Marty Chiropractic Wellness Center, P.c. 1310 N Il Rt 251, Lostant, IL 61334-0207 Ph: (815) 368-3421 | Marty Chiropractic Wellness Center, P.c. 1310 N Il Rt 251, Lostant, IL 61334-0207 Ph: (815) 368-3421 |
Dr. Eric Wayne Anderson, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1310 N Il Rt 251, Lostant, IL 61334 Phone: 815-368-3421 Fax: 815-368-3404 | |
Dr. Rhonda Joan Marty Anderson, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1310 N Il Rt 251, Lostant, IL 61334 Phone: 815-368-3421 Fax: 815-368-3404 |