| Mac Chiropractic LLC | |
|
3815 Progress Blvd Ste C Peru IL 61354-1188 | |
| (815) 250-0953 | |
| (779) 201-5194 |
| Full Name | Mac Chiropractic LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3815 Progress Blvd Ste C, Peru, Illinois |
| Authorized Official Name and Position | Katrina Mcquilkin (DOCTOR, OWNER) |
| Authorized Official Contact | 8152500953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mac Chiropractic LLC 3815 Progress Blvd Ste C Peru IL 61354-1188 Ph: (815) 250-0953 | Mac Chiropractic LLC 3815 Progress Blvd Ste C Peru IL 61354-1188 Ph: (815) 250-0953 |
| NPI Number | 1518439710 |
|---|---|
| Provider Enumeration Date | 12/28/2018 |
| Last Update Date | 12/28/2018 |
| Medicare PECOS PAC ID | 3971849480 |
|---|---|
| Medicare Enrollment ID | O20190103002567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518439710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Katrina Mcquilkin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265976641 PECOS PAC ID: 7416231980 Enrollment ID: I20170228002177 |
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