Organization
FERNANDES CHIROPRACTIC LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA A FERNANDES D.C. (PRESIDENT)
(847) 669-6071
Entity
Organization
Contact information
Practice address
4093 W ALGONQUIN RD, ALGONQUIN, IL 60102-9401
(847) 669-6071
(847) 669-6074
Mailing address
4093 W ALGONQUIN RD, ALGONQUIN, IL 60102-9401
(847) 669-6071
(847) 669-6074
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209914
MEDICARE PTAN
IL
Enumeration date
02/07/2008
Last updated
09/30/2014
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