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Organization
ULTIMATE CHIRO CARE PC
Active
Organization
ULTIMATE CHIRO CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERRY ANTHONY CAMMISA DC (OWNER/SOLE PROPRIETOR)
(630) 778-9000
Entity
Organization
Contact information
Practice address
3590 HOBSON RD STE 301, WOODRIDGE, IL 60517-5409
(630) 778-9000
(630) 778-9065
Mailing address
3590 HOBSON RD, WOODRIDGE, IL 60517-5409
(630) 778-9000
(630) 778-9065
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006843
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00290120
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
10/25/2007
Last updated
11/21/2018
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