| Infinite Wellness Chiropractic, Ltd. | |
|
220 Evergreen Lane Unit B Glen Carbon IL 62034-6203 | |
| (618) 655-0333 | |
| Not Available |
| Full Name | Infinite Wellness Chiropractic, Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 220 Evergreen Lane, Glen Carbon, Illinois |
| Authorized Official Name and Position | Ryan J Cleland (PRESIDENT) |
| Authorized Official Contact | 6186550333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Wellness Chiropractic, Ltd. 28 Meadow Rue Dr Edwardsville IL 62025-3141 Ph: (618) 980-3150 | Infinite Wellness Chiropractic, Ltd. 220 Evergreen Lane Unit B Glen Carbon IL 62034-6203 Ph: (618) 655-0333 |
| NPI Number | 1518152669 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 04/13/2020 |
| Medicare PECOS PAC ID | 7911097126 |
|---|---|
| Medicare Enrollment ID | O20071212000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518152669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ryan J Cleland |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508051830 PECOS PAC ID: 2567552763 Enrollment ID: I20071212000040 |
| Provider Name | Joann M Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073762308 PECOS PAC ID: 1456532258 Enrollment ID: I20110228000508 |
| Provider Name | Andrew Joseph Hall |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255678769 PECOS PAC ID: 5496994535 Enrollment ID: I20130620000375 |
| Provider Name | Rachel Lauren Heft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760846414 PECOS PAC ID: 5991098667 Enrollment ID: I20160719001647 |
| Provider Name | Talisha J Nyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821537820 PECOS PAC ID: 0941574370 Enrollment ID: I20170922001485 |
| Provider Name | Elizabeth Anne Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548610132 PECOS PAC ID: 9335411941 Enrollment ID: I20190824000623 |
| Provider Name | Jeffrey A. Brower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073623245 PECOS PAC ID: 8527087709 Enrollment ID: I20200204000369 |
| Provider Name | Michael M Babinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699362020 PECOS PAC ID: 6103232871 Enrollment ID: I20210303002184 |
| Provider Name | Stefanie Vesper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972243483 PECOS PAC ID: 4385021864 Enrollment ID: I20220603002194 |
| Provider Name | Brent Lyerly |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528767563 PECOS PAC ID: 6406211531 Enrollment ID: I20230425001644 |
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