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Organization
MINARDI CHIROPRACTIC PC
Active
Organization
MINARDI CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MINARDI DC (OWNER PRESIDENT)
(630) 466-7688
Entity
Organization
Contact information
Practice address
125 S ROUTE 47, SUGAR GROVE, IL 60554
(630) 466-7688
(630) 466-7693
Mailing address
PO BOX 364, SUGAR GROVE, IL 60554-0364
(630) 466-7688
(630) 466-7693
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006101
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000798016012
UNITED HEALTHCARE
IL
01
—
131154
ACN PROVIDER NUMBER
IL
01
—
4527418
BCBS PROVIDER NUMBER
IL
Enumeration date
08/31/2006
Last updated
11/17/2011
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