Individual
MR. JAMES GREGGORY SALVATORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1000 ESSINGTON RD, SUITE A, JOLIET, IL 60435-2841
(815) 931-2579
(815) 744-1681
Mailing address
1613 NICHOLSON ST, CREST HILL, IL 60435-2426
(815) 931-2579
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009932443
BLUECROSS BLUESHIELD IL
IL
01
—
7662849
AETNA PROVIDER NUMBER
IL
Enumeration date
07/01/2005
Last updated
07/08/2007
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