Dr Dominick Anton Anco, DC | |
27 E Colorado Ave, Frankfort, IL 60423-1385 | |
(708) 258-9600 | |
Not Available |
Full Name | Dr Dominick Anton Anco |
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Gender | Male |
Speciality | Chiropractor |
Location | 27 E Colorado Ave, Frankfort, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619108396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 038011458 (Illinois) | Primary |
Provider Name | Head To Toe Health & Wellness |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649610478 PECOS PAC ID: 3577704501 Enrollment ID: O20130802000231 |
Mailing Address | Practice Location Address |
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Dr Dominick Anton Anco, DC 27 E Colorado Ave, Frankfort, IL 60423-1385 Ph: (708) 258-9600 | Dr Dominick Anton Anco, DC 27 E Colorado Ave, Frankfort, IL 60423-1385 Ph: (708) 258-9600 |
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