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General NPI Number Information
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NPI Number | 1073611596
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Entity Type | Individual
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Provider Name | MICHAEL A SELVITELLA D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 523 S BARTLETT RD
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City | STREAMWOOD
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State | IL
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Zip | 60107-1309
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Country | US
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Telephone | 630-372-7372
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Fax |
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Provider Business Mailing Address
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Address Line | 523 S BARTLETT RD
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City | STREAMWOOD
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State | IL
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Zip | 60107-1309
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Country | US
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Telephone | 847-707-8555
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Fax | 217-397-9793
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038005874
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License Number State | IL
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