=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699617373
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MICHAEL VENICE, D.N.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/09/2026
-----------------------------------------------------
Last Update Date | 04/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4341 NORTH MOZART STREET, CHICAGO, IL, USA UNIT 3
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60618
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-569-7563
-----------------------------------------------------
Fax | 773-569-7563
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4341 NORTH MOZART STREET, CHICAGO, IL, USA UNIT 3
-----------------------------------------------------
City | CHICAGO
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60618
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 773-569-7563
-----------------------------------------------------
Fax | 773-569-7563
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. MICHAEL ALLEN VENICE
-----------------------------------------------------
Credential | D.N.
-----------------------------------------------------
Telephone | 773-569-7563
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 172P00000X
-----------------------------------------------------
Taxonomy Name | Naprapath
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------