MEDICARE: MS. ROSEMARY SCHIAVI DC

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 010260	IL

General Provider Information

NPI Number	:	1629168612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSEMARY SCHIAVI DC

Provider Business Mailing Address
First Line	:	12924 WILD PRAIRIE CLOSE
Second Line	:
City	:	BELVIDERE
State	:	IL
Zip	:	61008-8500
Country	:	US
Telephone Number	:	815-800-1123
Fax Number	:

Provider Business Practice Location Address
First Line	:	12924 WILD PRAIRIE CLOSE
Second Line	:
City	:	BELVIDERE
State	:	IL
Zip	:	61008-8500
Country	:	US
Telephone Number	:	262-748-6303
Fax Number	:

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

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	07/27/2024

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