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Andickerson, INC

Chiropractor in Oswego, IL. Organization (NPI-2).

NPI number1871978916
StatusActive
Last updated in NPPESApr 21, 2016

Details

NPI
1871978916
Entity type
Organization (NPI-2)
Legal business name
Andickerson, INC
Organization subpart
No
Enumeration date
Jul 29, 2015
Last updated
Apr 21, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor038011384ILYes

Other names

  • Sports And Spine Chiropractic (Doing Business As)

Practice location

83 Templeton Dr
Unit C
Oswego, IL 60543-7019

Phone 630-554-9991 · Fax 630-554-9992

Mailing address

83 Templeton Drive
Unit C
Oswego, IL 60543-7019

Phone 630-554-9991 · Fax 630-554-9992

Authorized official

Ashley Dickerson
Owner
6305549991

Is something wrong?

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Other Chiropractor providers in Oswego, IL

All 31 Chiropractor providers in Oswego · All 746 providers in Oswego

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