Organization
DANIEL V. FORTUNA, D.C., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL VINCENT FORTUNA D.C. (PRESIDENT)
(708) 749-0606
Entity
Organization
Contact information
Practice address
2947 OAK PARK AVE, BERWYN, IL 60402-3048
(708) 749-0606
(708) 749-7793
Mailing address
2947 OAK PARK AVE, BERWYN, IL 60402-3048
(708) 749-0606
(708) 749-7793
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0634272
BCBS OF ILLINOIS
IL
Enumeration date
04/03/2007
Last updated
08/22/2020
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