# DR. ANTHONY PENDOLINO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508049149
- **Authorized official:** DR. ANTHONY PENDOLINO D.C. (MANAGING MEMBER)
- **Authorized official phone:** (815) 436-1191

## Contact information

- **Practice address:** 15715 S ROUTE 59, PLAINFIELD, IL 60544-2694
- **Practice address phone:** (815) 436-1191
- **Mailing address:** 15715 S ROUTE 59, PLAINFIELD, IL 60544-2694
- **Mailing address phone:** (815) 436-1191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2007
- **Last updated:** 07/22/2020
