| Piccolo Chiropractic Clinic Sc | |
|
356 N Lake St, Aurora, IL 60506-4186 | |
| (630) 820-0000 | |
| (630) 906-1798 |
| Full Name | Piccolo Chiropractic Clinic Sc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 356 N Lake St, Aurora, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437354701 | NPI | - | NPPES |
| 210654 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38003855 (Illinois) | Primary |
| Provider Name | George D Piccolo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558464131 PECOS PAC ID: 6901864677 Enrollment ID: I20041228000527 |
| Mailing Address | Practice Location Address |
|---|---|
| Piccolo Chiropractic Clinic Sc 356 N Lake St, Aurora, IL 60506-4186 Ph: (630) 820-0000 | Piccolo Chiropractic Clinic Sc 356 N Lake St, Aurora, IL 60506-4186 Ph: (630) 820-0000 |
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