| Scott Fonda, DC | |
|
825 N Cass Ave, Suite 104, Westmont, IL 60559-1132 | |
| (630) 522-4060 | |
| (630) 522-4061 |
| Full Name | Scott Fonda |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 825 N Cass Ave, Westmont, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518971886 | NPI | - | NPPES |
| 038007499 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038-007499 (Illinois) | Primary |
| 111NX0800X | Chiropractor - Orthopedic | 038-007499 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Fonda, DC 825 N Cass Ave, Suite 104, Westmont, IL 60559-1132 Ph: (630) 522-4060 | Scott Fonda, DC 825 N Cass Ave, Suite 104, Westmont, IL 60559-1132 Ph: (630) 522-4060 |
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