Look up the most recent NPI and PECOS records

Popp Family Chiropractic P C

Chiropractor

Chiropractic Providers

1938 Ridge Rd, Homewood, IL 60430-1730

PECOS Enrollment

Based on the most recent information from CMS, provider Popp Family Chiropractic P C does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1437392610
Provider Type
Organization
Full Name
Popp Family Chiropractic P C

Subpart
No
Enumeration Date
4/17/2009
Last Updated
6/17/2009

Contact Information

Practice Location

1938 Ridge Rd, Homewood, IL 60430-1730

(708) 922-1883

(866) 204-3818

Mailing Location

1938 Ridge Rd, Homewood, IL 60430-1730

(708) 922-1883

(866) 204-8818

Authorized Official

Popp, Rita Maria (Office Manager/Spouse)

(708) 922-1883

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 038-007440 Missouri

Provider Identifiers

ID	Description	Issuer
ID 01626928	Description Other	Issuer BLUE CROSS BLUE SHIELD INSURANCE Illinois

Popp Family Chiropractic P C

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Lyseng, David E

Gress, William Paul

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Rihman, Rashid

Zaragoza, Adrian

Yusuf, Sikirat A.

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