Dr. Bradley Jack Polen is a Wood River, Illinois based male chiropractor with 3 years of experience in General Chiropractor. He completed his graduation from Logan College Of Chiropractic in 2021. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Bradley Jack Polen as General Chiropractor is 038.013756 in Illinois. Dr. Bradley Jack Polen is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Bradley Jack Polen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Experience:
3+ years
Medical School Attended:
Logan College Of Chiropractic
Graduation Year:
2021
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
203 S 6th St, Wood River, Illinois, 62095-2345
Phone:
618-254-9355
Fax:
618-254-9351
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8325457054
Enrollment ID:
I20211006002333
NPI Number:
1043894165
NPI Enumeration Date:
06 May, 2021
NPI Last Update On:
19 Oct, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bradley Jack Polen are as mentioned below.
License Number
Specialization
State
Status
038.013756
Chiropractor
Illinois
Primary
2021016090
General Chiropractor
Missouri
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Bradley Jack Polen is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Wood River Chiropractic Llc (5597040147)
2
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
203 S 6th St, Wood River, Illinois
Zip:
62095-2345
Phone Number:
618-254-9355
Fax Number:
618-254-9351
Patients can reach Dr. Bradley Jack Polen at 203 S 6th St, Wood River, Illinois or can call to book an appointment on 618-254-9355. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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