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NPI Code Detail

MEDICARE: DR. ANNEMARIE FILISKY LECLAIR D.C.

MEDICARE: DR. ANNEMARIE FILISKY LECLAIR D.C.
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
1111N00000XChiropractorCH8837FL
2111N00000XChiropractor038009565IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063584720
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNEMARIE FILISKY LECLAIR D.C.
Provider Business Mailing Address
First Line : 4555 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-2102
Country : US
Telephone Number : 773-598-4387
Fax Number : 312-267-1827
Provider Business Practice Location Address
First Line : 4555 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-2102
Country : US
Telephone Number : 773-598-4387
Fax Number : 312-267-1827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 08/01/2025

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