Individual
DR. DAVID P PICCHIETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11316 W WADSWORTH ROAD, BEACH PARK, IL 60099-3367
(847) 872-3456
(847) 872-3557
Mailing address
11316 W WADSWORTH ROAD, BEACH PARK, IL 60099-3367
(847) 872-3456
(847) 872-3557
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007199
IL
111N00000X
Chiropractor
2947012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04982014
BCBS
IL
Enumeration date
12/19/2006
Last updated
10/11/2011
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