MEDICARE: DR. SCOTT S EMMERLING 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
1	111N00000X	Chiropractor		IL

General Provider Information

NPI Number	:	1659433480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT S EMMERLING D.C.

Provider Business Mailing Address
First Line	:	5202 WASHINGTON ST
Second Line	:	SUITE 1
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-4772
Country	:	US
Telephone Number	:	630-968-0555
Fax Number	:

Provider Business Practice Location Address
First Line	:	5202 WASHINGTON ST
Second Line	:	SUITE 1
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-4772
Country	:	US
Telephone Number	:	630-968-0555
Fax Number	:

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

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	07/08/2007

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