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Physician Compare National (NPI:1902179732)

HEALTHCARE PROVIDER: JOHN W. SCHORI III 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 1902179732
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2365607124
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120628000208
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SCHORI
Individual professional last name
Provider First Name JOHN
Individual professional first name
Provider Middle Name WHEELER
Individual professional middle name
Provider Name Suffix Text III
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NATIONAL COLLEGE OF CHIROPRACTIC
Individual professional's medical school
Graduation Year 2011
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name RENEWED BALANCE HEALTH AND WELLNESS CENTER SC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 1456516210
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 794 W APPLETREE LN
Group Practice or individual's line 1 address
City BARTLETT
Group Practice or individual's city
State IL
Group Practice or individual's state
Zip Code 601035840
Group Practice or individual's zip code (9 digits when available)
Phone Number 2245580941
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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