Dr Brock B Mullenbach, DO | |
6712 N Convent St, Bourbonnais, IL 60914-1528 | |
(815) 605-8403 | |
Not Available |
Full Name | Dr Brock B Mullenbach |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
Location | 6712 N Convent St, Bourbonnais, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1841750924 | NPI | - | NPPES |
Entity Name | Illinois Bone And Joint Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
Mailing Address | Practice Location Address |
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Dr Brock B Mullenbach, DO 6712 N Convent St, Bourbonnais, IL 60914-1528 Ph: (815) 605-8403 | Dr Brock B Mullenbach, DO 6712 N Convent St, Bourbonnais, IL 60914-1528 Ph: (815) 605-8403 |
Dr. Mohammad Abdelhafez Issa, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 100 Riverside Dr, Bourbonnais, IL 60914 Phone: 815-802-7090 Fax: 815-802-7091 | |
Charonn D Woods, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 100 Riverside Dr, Bourbonnais, IL 60914 Phone: 815-802-7090 Fax: 815-802-7091 | |
Akhil Chander Shori, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 100 Riverside Dr, Bourbonnais, IL 60914 Phone: 815-802-7090 Fax: 815-802-7091 |