| St. Charles Service Corporation | |
|
1615 W. Main Street, St. Charles, IL 60174 | |
| (630) 830-8600 | |
| (630) 830-2273 |
| Full Name | St. Charles Service Corporation |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1615 W. Main Street, St. Charles, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093070567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Secondary |
| 111N00000X | Chiropractor | 038007980 (Illinois) | Primary |
| Provider Name | Pasquale G Calcagno |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376611525 PECOS PAC ID: 1658337530 Enrollment ID: I20050726001002 |
| Provider Name | Bryce J Staker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013926534 PECOS PAC ID: 2567466691 Enrollment ID: I20060905000065 |
| Provider Name | Diane Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629233267 PECOS PAC ID: 0941376560 Enrollment ID: I20080905000287 |
| Provider Name | Stephanie A Ruff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699125146 PECOS PAC ID: 1355636663 Enrollment ID: I20160825002427 |
| Provider Name | Geetha N Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568088656 PECOS PAC ID: 3870912223 Enrollment ID: I20201030001814 |
| Provider Name | Joshua Finley Younce |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023217692 PECOS PAC ID: 7810953791 Enrollment ID: I20221122001926 |
| Provider Name | Frank Ambrosio |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639591878 PECOS PAC ID: 5991003899 Enrollment ID: I20230208000926 |
| Provider Name | Domenique Colomba Voelsch |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699466342 PECOS PAC ID: 1052753035 Enrollment ID: I20240522001050 |
| Provider Name | Manpreet Kaur Kullar |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1942901558 PECOS PAC ID: 3577005610 Enrollment ID: I20240605000502 |
| Mailing Address | Practice Location Address |
|---|---|
| St. Charles Service Corporation 260 E. Army Trail Rd,, Suite D, Bartlett, IL 60103-3005 Ph: (630) 830-8600 | St. Charles Service Corporation 1615 W. Main Street, St. Charles, IL 60174 Ph: (630) 830-8600 |
Dr. James Edward Judge, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2422 W, Maine St., Unit 4a, St. Charles, IL 60174 Phone: 815-252-7917 |