Individual
ANTHONY SURRUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 PARK AVE, CLARENDON HILLS, IL 60514-2701
(630) 291-2847
Mailing address
421 PARK AVE, CLARENDON HILLS, IL 60514-2701
(630) 291-2847
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.006816
IL
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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