Individual
ANTHONY CHARLES PANTANELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1555 BARRINGTON RD, BLDG. 1, STE.335, HOFFMAN ESTATES, IL 60169-1144
(847) 885-1131
(847) 839-0910
Mailing address
1555 BARRINGTON RD, DOCTOR'S BUILDING ONE, SUITE 335, HOFFMAN ESTATES, IL 60169-1144
(847) 885-1131
(847) 839-0910
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
038-005177
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001636402
BLUE SHIELD PROVIDER #
IL
Enumeration date
03/29/2007
Last updated
11/23/2009
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