Dr Domenic Anthony Cusano Jr, DC | |
6580 N Northwest Hwy, Chicago, IL 60631-1415 | |
(773) 631-0660 | |
(773) 631-1869 |
Full Name | Dr Domenic Anthony Cusano Jr |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 39 Years |
Location | 6580 N Northwest Hwy, Chicago, Illinois |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083625545 | NPI | - | NPPES |
1682289 | Other | IL | BCBS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038-05961 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cusano Chiropractic Sc | 8022312511 | 2 |
Provider Name | Cusano Chiropractic Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528425345 PECOS PAC ID: 8022312511 Enrollment ID: O20160203001370 |
Mailing Address | Practice Location Address |
---|---|
Dr Domenic Anthony Cusano Jr, DC 305 Morgan Lane, Fox River Grove, IL 60021 Ph: (773) 631-0660 | Dr Domenic Anthony Cusano Jr, DC 6580 N Northwest Hwy, Chicago, IL 60631-1415 Ph: (773) 631-0660 |
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Dr. Jee Hoon Kim, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2317 W Chicago Ave, 2 Fl., Chicago, IL 60622 Phone: 773-252-9740 Fax: 773-252-9746 | |
Dr. Dylan P Drynan, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1600 S Indiana Ave, Unit B, Chicago, IL 60616 Phone: 312-922-9868 Fax: 312-922-9869 | |
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