MEDICARE: ANTHRO CHIROPRACTIC AND WELLNESS LLC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1184155723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHRO CHIROPRACTIC AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	12924 WILD PRAIRIE CLOSE
Second Line	:
City	:	BELVIDERE
State	:	IL
Zip	:	61008-8500
Country	:	US
Telephone Number	:	262-748-6303
Fax Number	:

Provider Business Practice Location Address
First Line	:	12924 WILD PRAIRIE CLOSE
Second Line	:
City	:	BELVIDERE
State	:	IL
Zip	:	61008-8500
Country	:	US
Telephone Number	:	262-748-6303
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROSEMARY SCHIAVI
Credential	:	DC
Telephone Number	:	815-800-1123

Provider Enumeration Date	:	03/24/2017
Last Update Date	:	07/30/2024

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