Healthcare Provider Details

I. General information

NPI: 1053409839
Provider Name (Legal Business Name): ANTHONY R GALANTE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 12/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 HUNTINGTON DR N
ALGONQUIN IL
60102-4419
US

IV. Provider business mailing address

2210 HUNTINGTON DR N
ALGONQUIN IL
60102-4419
US

V. Phone/Fax

Practice location:
  • Phone: 847-854-2000
  • Fax: 847-854-2009
Mailing address:
  • Phone: 847-854-2000
  • Fax: 847-854-2009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038007020
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: