| Dr John T Patenaude & Dr David P Picchietti Sc | |
|
11316 W Wadsworth Road, Beach Park, IL 60099-3367 | |
| (847) 872-3456 | |
| (847) 872-3557 |
| Full Name | Dr John T Patenaude & Dr David P Picchietti Sc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11316 W Wadsworth Road, Beach Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205963659 | NPI | - | NPPES |
| 04982014 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | John T Patenaude |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871660548 PECOS PAC ID: 7012934417 Enrollment ID: I20051025001027 |
| Provider Name | David Philip Picchietti |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336202589 PECOS PAC ID: 0749207140 Enrollment ID: I20111118000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John T Patenaude & Dr David P Picchietti Sc 11316 W Wadsworth Road, Beach Park, IL 60099-3367 Ph: (847) 872-3456 | Dr John T Patenaude & Dr David P Picchietti Sc 11316 W Wadsworth Road, Beach Park, IL 60099-3367 Ph: (847) 872-3456 |
Dr. David P Picchietti, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 11316 W Wadsworth Road, Beach Park, IL 60099 Phone: 847-872-3456 Fax: 847-872-3557 | |
Dr. John T Patenaude, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 11316 W Wadsworth Rd, Beach Park, IL 60099 Phone: 847-872-3456 Fax: 847-872-3557 |