| Healing Waters Chiropractic Llc | |
|
300 Summit St Galena IL 61036-1638 | |
| (815) 776-7610 | |
| Not Available |
| Full Name | Healing Waters Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Summit St, Galena, Illinois |
| Authorized Official Name and Position | Agnieszka Cluchey (OWNER) |
| Authorized Official Contact | 8157767610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Waters Chiropractic Llc 300 Summit St Galena IL 61036-1638 Ph: (815) 776-7610 | Healing Waters Chiropractic Llc 300 Summit St Galena IL 61036-1638 Ph: (815) 776-7610 |
| NPI Number | 1588166854 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 06/01/2022 |
| Medicare PECOS PAC ID | 2062847684 |
|---|---|
| Medicare Enrollment ID | O20200108001998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588166854 | NPI | - | NPPES |
| 1346560752 | Other | IL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 038.011701 (Illinois) | Primary |
| Provider Name | Agnieszka Cluchey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346560752 PECOS PAC ID: 4284886656 Enrollment ID: I20121211000130 |
Midwest Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Galena, IL 61036 Phone: 815-777-1340 Fax: 815-776-7274 |