Gregory  Y  Markley    DC
Contract Details
Facility name
Provider ID
P000005496
NPI
1861562175
Tax ID
364018041
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
88.00
Location Details
Address
2900 Foxfield Rd Suite 307
Saint Charles, IL 60174
United States
County
Kane
Phone
6302083200 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address