MEDICARE: PASCALE NELSON D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038.011227	IL

General Provider Information

NPI Number	:	1063699114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PASCALE NELSON D.C.

Provider Business Mailing Address
First Line	:	315 S NAPERVILLE RD
Second Line	:
City	:	WHEATON
State	:	IL
Zip	:	60187-5423
Country	:	US
Telephone Number	:	630-221-0200
Fax Number	:	630-384-2644

Provider Business Practice Location Address
First Line	:	3115 N WILKE RD STE A
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1451
Country	:	US
Telephone Number	:	224-795-5700
Fax Number	:	224-795-5705

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2008
Last Update Date	:	07/21/2022

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