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Organization
DANIEL J FEDELI, D.C.,P.C.
Active
Organization
DANIEL J FEDELI, D.C.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JOSEPH FEDELI D.C. (PRESIDENT)
(312) 787-7222
Entity
Organization
Contact information
Practice address
1165 N CLARK ST, SUITE 602, CHICAGO, IL 60610-2702
(312) 787-7222
(312) 787-7227
Mailing address
1165 N CLARK ST, SUITE 602, CHICAGO, IL 60610-2702
(312) 787-7222
(312) 787-7227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-82529-36
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/12/2007
Last updated
08/22/2020
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