| Shannen L Boyd, DC | |
|
275 N. York St, Suite 301, Elmhurst, IL 60126 | |
| (630) 617-9790 | |
| (630) 559-1023 |
| Full Name | Shannen L Boyd |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 275 N. York St, Elmhurst, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477924512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38.012848 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 038.012848 (Illinois) | Primary |
| Provider Name | Advanced Physicians Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124075288 PECOS PAC ID: 6103879713 Enrollment ID: O20050223000649 |
| Provider Name | Illinois Spinal Care,ltd. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356540561 PECOS PAC ID: 3870682495 Enrollment ID: O20071205000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannen L Boyd, DC 275 N. York St, Suite 301, Elmhurst, IL 60126 Ph: (630) 617-9790 | Shannen L Boyd, DC 275 N. York St, Suite 301, Elmhurst, IL 60126 Ph: (630) 617-9790 |
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