| David Low Back Center Dc | |
|
1019 W Galena Ave, Freeport, IL 61032-3819 | |
| (815) 232-2225 | |
| (815) 233-2571 |
| Full Name | David Low Back Center Dc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1019 W Galena Ave, Freeport, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346376241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070022643 (Illinois) | Secondary |
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Provider Name | Paul M Theisen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639136278 PECOS PAC ID: 8224099585 Enrollment ID: I20110418000369 |
| Provider Name | Tara H Theisen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356302756 PECOS PAC ID: 9335318120 Enrollment ID: I20110812000052 |
| Provider Name | Nicholas A Wells |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629485040 PECOS PAC ID: 6406074095 Enrollment ID: I20140822001673 |
| Provider Name | Stephanie M Elliott |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255819850 PECOS PAC ID: 1355693466 Enrollment ID: I20181017001821 |
| Mailing Address | Practice Location Address |
|---|---|
| David Low Back Center Dc 1019 W Galena Ave, Freeport, IL 61032-3819 Ph: (815) 232-2225 | David Low Back Center Dc 1019 W Galena Ave, Freeport, IL 61032-3819 Ph: (815) 232-2225 |
Dr. Julie J Smith, D.N. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 418 W. Meadows Dr., Freeport, IL 61032 Phone: 815-297-0889 Fax: 847-239-7471 | |
Allies In Health Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 418 W Meadows Dr., Freeport, IL 61032 Phone: 815-297-0889 Fax: 847-239-7471 | |
Hulsebus And Gehlsen Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 630 Terra West Dr, Freeport, IL 61032 Phone: 815-235-7858 Fax: 815-235-7913 | |
Olivia Louise Pehl, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 640 W South St, Suite 1, Freeport, IL 61032 Phone: 815-235-2301 Fax: 815-297-8431 | |
Jon P Flynn, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1542 S Oak Ave, Freeport, IL 61032 Phone: 815-291-7743 | |
Jacob Dale Wookey, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 630 Terra West Dr, Freeport, IL 61032 Phone: 815-235-7858 Fax: 815-235-7913 | |
Mrs. Tara H Theisen, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 1019 W Galena Ave, Freeport, IL 61032 Phone: 815-232-2225 Fax: 815-233-2571 |