| Longinotti Chiropractic Center Ltd | |
|
1144 Lake St Suite 207 Oak Park IL 60301-6705 | |
| (708) 386-7570 | |
| Not Available |
| Full Name | Longinotti Chiropractic Center Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 1144 Lake St, Oak Park, Illinois |
| Authorized Official Name and Position | John Longinotti (PRESIDENT) |
| Authorized Official Contact | 7083867570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longinotti Chiropractic Center Ltd 1144 Lake St Suite 207 Oak Park IL 60301-6705 Ph: (708) 386-7570 | Longinotti Chiropractic Center Ltd 1144 Lake St Suite 207 Oak Park IL 60301-6705 Ph: (708) 386-7570 |
| NPI Number | 1205094133 |
|---|---|
| Provider Enumeration Date | 05/28/2008 |
| Last Update Date | 05/17/2011 |
| Medicare PECOS PAC ID | 8426234154 |
|---|---|
| Medicare Enrollment ID | O20110516000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205094133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 038005479 (Illinois) | Primary |
| Provider Name | John R Longinotti |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225057326 PECOS PAC ID: 7517143258 Enrollment ID: I20110517000354 |
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