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103 E Ashland Ave., Mt. Zion, IL 62549-1272 | |
(217) 864-5566 | |
(217) 864-4497 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 103 E Ashland Ave., Mt. Zion, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861604860 | NPI | - | NPPES |
038006572 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 038006572 (Illinois) | Primary |
Provider Name | Christopher J Woodrow |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1548231194 PECOS PAC ID: 7810067071 Enrollment ID: I20080530000794 |
Mailing Address | Practice Location Address |
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103 E Ashland Ave., Mt. Zion, IL 62549-1272 Ph: (217) 864-5566 | 103 E Ashland Ave., Mt. Zion, IL 62549-1272 Ph: (217) 864-5566 |