MEDICARE: DR. MICHAEL A. VENICE D.N.

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	181000364	IL

General Provider Information

NPI Number	:	1598087330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL A. VENICE D.N.

Provider Business Mailing Address
First Line	:	3615 N. ASLAND AVE
Second Line	:	#1N
City	:	CHICAGO
State	:	IL
Zip	:	60613-4742
Country	:	US
Telephone Number	:	773-569-7563
Fax Number	:

Provider Business Practice Location Address
First Line	:	3615 N. ASLAND AVE
Second Line	:	#1N
City	:	CHICAGO
State	:	IL
Zip	:	60613-4742
Country	:	US
Telephone Number	:	773-569-7563
Fax Number	:

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

Provider Enumeration Date	:	02/21/2010
Last Update Date	:	09/26/2013

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