Organization
PHYSICIANS PLUS NORTH LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ANTHONY MARANDO JR. D.C. (CHIROPRACTOR)
(773) 348-0033
Entity
Organization
Contact information
Practice address
1700 W DIVERSEY PKWY, SUITE 2W, CHICAGO, IL 60614-1010
(773) 348-0033
(773) 348-0553
Mailing address
1700 W DIVERSEY PKWY, SUITE 2W, CHICAGO, IL 60614-1010
(773) 348-0033
(773) 348-0553
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
042617987
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632107
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/18/2007
Last updated
11/21/2022
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