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NPI Code Detail

MEDICARE: DR. ANTHONY VINCENT GIOIA D.C.

MEDICARE: DR. ANTHONY VINCENT GIOIA 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
1111N00000XChiropractor038-007214IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11606032OTHERILBCBS OF IL PROVIDER #

General Provider Information

NPI Number : 1356340772
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY VINCENT GIOIA D.C.
Provider Business Mailing Address
First Line : 1303 W ALGONQUIN RD
Second Line :
City : LAKE IN THE HILLS
State : IL
Zip : 60156-3575
Country : US
Telephone Number : 847-854-0505
Fax Number : 847-854-0808
Provider Business Practice Location Address
First Line : 1303 W ALGONQUIN RD
Second Line :
City : LAKE IN THE HILLS
State : IL
Zip : 60156-3575
Country : US
Telephone Number : 847-854-0505
Fax Number : 847-854-0808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 08/06/2016

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