ST. CHARLES SERVICE CORPORATION NPI 1093070567

NPI Information

  • NPI: 1093070567
  • Provider Name: ST. CHARLES SERVICE CORPORATION
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: OLYMPIA CHIROPRACTIC AND PHYSICAL THERAPY
  • Address: 1615 W. MAIN STREET
    ST. CHARLES, IL
    ZIP 60174
  • Phone: (630) 830-8600

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NPI Details

ST. CHARLES SERVICE CORPORATION is a chiropractor in St. Charles, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ST. CHARLES SERVICE CORPORATION NPI is 1093070567. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Olympia Chiropractic And Physical Therapy.

The provider's business location address is:

1615 W. MAIN STREET
ST. CHARLES, IL
ZIP 60174
Phone: (630) 830-8600
Fax: (630) 830-2273

The provider's authorized official is Pasquale G. Calcagno .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (630) 830-8600.

The enumeration date for this NPI number is 7/10/2012 and was last updated on 7/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistILLINOISNo
2111N00000XChiropractor038007980ILLINOISYes

What is NPI?

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This page was last updated on: 3/30/2025

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