Organization
DR. ANTHONY J. SURRUSCO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY SURRUSCO (CLINIC DIRECTOR)
(630) 455-0435
Entity
Organization
Contact information
Practice address
421 PARK AVE, CLARENDON HILLS, IL 60514-2701
(630) 455-0435
(630) 455-0437
Mailing address
421 PARK AVE, CLARENDON HILLS, IL 60514-2701
(630) 455-0435
(630) 455-0437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006816
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02205510
BCBS
IL
Enumeration date
03/13/2007
Last updated
10/08/2018
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