Individual
DR. ANTHONY PENDOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., DIPL. ACUP.
Contact information
Practice address
15715 S ROUTE 59, PLAINFIELD, IL 60544
(815) 436-1191
(815) 436-1296
Mailing address
15715 S ROUTE 59, PLAINFIELD, IL 60544
(815) 436-1191
(815) 436-1296
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-007415
IL
171100000X
Acupuncturist
198-00373
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099-05743
BC/BS
IL
01
—
200511800
OWCP
IL
01
—
318-6341
CIGNA
IL
01
—
350039985
RAILROAD MEDICARE
IL
01
—
5797137
AENTA
IL
Enumeration date
10/04/2006
Last updated
07/22/2020
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