| Medcare Health Center Ltd | |
|
1212 Currency Ct Rochelle IL 61068-2321 | |
| (815) 561-8500 | |
| (815) 561-8501 |
| Full Name | Medcare Health Center Ltd |
|---|---|
| Speciality | Chiropractor |
| Location | 1212 Currency Ct, Rochelle, Illinois |
| Authorized Official Name and Position | Diana Hogshead (CREDENTIALING AGENT) |
| Authorized Official Contact | 8159658505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcare Health Center Ltd 1212 Currency Ct Rochelle IL 61068-2321 Ph: (815) 561-8500 | Medcare Health Center Ltd 1212 Currency Ct Rochelle IL 61068-2321 Ph: (815) 561-8500 |
| NPI Number | 1245376698 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/23/2018 |
| Medicare PECOS PAC ID | 9234177452 |
|---|---|
| Medicare Enrollment ID | O20050419000944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245376698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Secondary |
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Provider Name | Cassandra L Larue Headon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386715423 PECOS PAC ID: 9739175761 Enrollment ID: I20040423000704 |
| Provider Name | Barbara Felgenhauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548528755 PECOS PAC ID: 7012173891 Enrollment ID: I20120723000795 |
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