MEDICARE: DR. NEIL ROCCO MECCIA PHD, DN

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
1	172P00000X	Naprapath		IL

General Provider Information

NPI Number	:	1093929093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEIL ROCCO MECCIA PHD, DN

Provider Business Mailing Address
First Line	:	7901 LONG AVE
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-2718
Country	:	US
Telephone Number	:	773-545-1658
Fax Number	:	773-545-1658

Provider Business Practice Location Address
First Line	:	7901 LONG AVE
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-2718
Country	:	US
Telephone Number	:	773-545-1658
Fax Number	:	773-545-1658

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	07/08/2007

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