BATAVIA BACK & NECK CENTER SC NPI 1407078793

NPI Information

BATAVIA BACK & NECK CENTER SC is a chiropractor in Batavia, 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. BATAVIA BACK & NECK CENTER SC NPI is 1407078793. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

34 N WATER ST # 201
BATAVIA, IL
ZIP 60510-986
Phone: (630) 879-6459
Fax: (630) 482-3093

The provider's authorized official is Anthony Di Carlo .
The authorized official title is Owner and has the following contact phone number (630) 879-6459.

The CLIA number assigned to this NPI record is 14D2255019 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 1/12/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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