OrganizationWest 84th Drive Chiropractic PcChiropractorChiropractic ProvidersPractice Address100 W 84th Dr, Merrillville, IN 46410-6242(219) 776-3781PECOS EnrollmentBased on the most recent information from CMS, provider West 84th Drive Chiropractic Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1477118818Provider TypeOrganizationFull NameWest 84th Drive Chiropractic PcSubpartNoEnumeration Date5/1/2019Last Updated4/9/2020Contact InformationPractice LocationPractice Address100 W 84th Dr, Merrillville, IN 46410-6242Phone(219) 776-3781FaxUnlisted FaxMailing LocationMailing Address10718 Dearborn St, Crown Point, IN 46307-2864Phone(219) 776-3781FaxUnlisted FaxAuthorized OfficialNameKauffman, Danielle (Director)Phone(219) 776-3781Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseUnlisted Issuer