Organization
DR. ANTHONY PENDOLINO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY PENDOLINO D.C. (MANAGING MEMBER)
(815) 436-1191
Entity
Organization
Contact information
Practice address
15715 S ROUTE 59, PLAINFIELD, IL 60544-2694
(815) 436-1191
Mailing address
15715 S ROUTE 59, PLAINFIELD, IL 60544-2694
(815) 436-1191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350039985
RAILROAD MEDICARE
IL
Enumeration date
12/05/2007
Last updated
07/22/2020
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