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Individual
DR. ANTHONY PENDOLINO
Active
Individual
DR. ANTHONY PENDOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., DIPL. ACUP.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-007415
IL
171100000X
Acupuncturist
198-00373
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099-05743
BC/BS
IL
01
—
200511800
OWCP
IL
01
—
318-6341
CIGNA
IL
01
—
350039985
RAILROAD MEDICARE
IL
01
—
5797137
AENTA
IL
Enumeration date
10/04/2006
Last updated
07/22/2020
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