| Marvel Chiropractic And Wellness Center Llc | |
|
417 E Broadway Blvd, Johnston City, IL 62951-1608 | |
| (618) 983-8100 | |
| (618) 983-8110 |
| Full Name | Marvel Chiropractic And Wellness Center Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 417 E Broadway Blvd, Johnston City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699924373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.011177 (Illinois) | Primary |
| Provider Name | Michelle D Marvel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316107279 PECOS PAC ID: 3971666728 Enrollment ID: I20090106000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Marvel Chiropractic And Wellness Center Llc 417 E Broadway Blvd, Johnston City, IL 62951-1608 Ph: (618) 983-8100 | Marvel Chiropractic And Wellness Center Llc 417 E Broadway Blvd, Johnston City, IL 62951-1608 Ph: (618) 983-8100 |
Dr. Robert Donald Martin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 217 E Broadway Blvd, Johnston City, IL 62951 Phone: 619-983-3900 | |
Dr. Michael Wayne Childress, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 217 E Broadway Blvd, Johnston City, IL 62951 Phone: 618-983-3900 Fax: 618-983-3900 |