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Individual

DR. GEORGE DOMINICK PICCOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
356 N LAKE ST, AURORA, IL 60506
(630) 820-0000
(630) 906-1798
Mailing address
356 N LAKE ST, AURORA, IL 60506
(630) 820-0000
(630) 906-1798

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4582035
BLUE CROSS
IL
Enumeration date
09/07/2006
Last updated
07/08/2007
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