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General NPI Number Information
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NPI Number | 1568651628
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Entity Type | Organization
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Legal Business Name | ALGONQUIN CHIROPRACTIC CENTER PC
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 2210 HUNTINGTON DR N
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City | ALGONQUIN
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State | IL
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Zip | 60102-4419
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Country | US
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Telephone | 847-854-2000
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Fax | 847-854-2009
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Provider Business Mailing Address
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Address Line | 2210 HUNTINGTON DR N
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City | ALGONQUIN
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State | IL
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Zip | 60102-4419
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Country | US
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Telephone | 847-854-2000
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Fax | 847-854-2009
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY R GALANTE
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Credential | DC
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Telephone | 847-854-2000
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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 | 038-007020
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License Number State | IL
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