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Physician Compare National (NPI:1770711327)

HEALTHCARE PROVIDER: RITA NICHOLE WILCOX DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1770711327
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7113112251
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101115000495
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WILCOX
Individual professional last name
Provider First Name RITA
Individual professional first name
Provider Middle Name N
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2009
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 PAIN MANAGEMENT
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties PAIN MANAGEMENT
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 251 E MAIN ST
Group Practice or individual's line 1 address
City GALESBURG
Group Practice or individual's city
State IL
Group Practice or individual's state
Zip Code 614014716
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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