| Wyatt Winn, | |
|
11124 Front St, Mokena, IL 60448-1525 | |
| (708) 478-9850 | |
| (630) 812-0780 |
| Full Name | Wyatt Winn |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 2 Years |
| Location | 11124 Front St, Mokena, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528879327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.014254 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Active Wellness Llc | 3072752864 | 21 |
| Provider Name | Active Wellness LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902162662 PECOS PAC ID: 3072752864 Enrollment ID: O20130627000369 |
| Provider Name | Healthsource of Downtown Mokena |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598456618 PECOS PAC ID: 0749642452 Enrollment ID: O20230811002762 |
| Mailing Address | Practice Location Address |
|---|---|
| Wyatt Winn, 11124 Front St, Mokena, IL 60448-1525 Ph: (708) 478-9850 | Wyatt Winn, 11124 Front St, Mokena, IL 60448-1525 Ph: (708) 478-9850 |
Dr. Dino Gerald O'mara, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 19600 S La Grange Rd, Mokena, IL 60448 Phone: 708-478-3000 Fax: 708-478-3007 |
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