Organization
BATAVIA BACK & NECK CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY DI CARLO D.C. (OWNER)
(630) 879-6459
Entity
Organization
Contact information
Practice address
34 N WATER ST # 201, BATAVIA, IL 60510-1986
(630) 879-6459
(630) 482-3093
Mailing address
34 N WATER ST # 201, BATAVIA, IL 60510-1986
(630) 879-6459
(630) 482-3093
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006500
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4582094
BCBS OF ILLINOIS
IL
Enumeration date
05/03/2007
Last updated
01/12/2016
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