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Dr. Michael Anthony Pontarelli, DC
Chiropractor in Chicago, Illinois
NPI 1982770681

Michael Anthony Pontarelli is a Chiropractor based in Arlington Hts, IL. Michael Anthony Pontarelli practices in Chicago, IL and has the professional credentials of DC. The NPI Number for Michael Anthony Pontarelli is 1982770681 and holds a License No. 038009742 (Illinois).

The current practice location address for Michael Anthony Pontarelli is 1811 W North Ave, Chicago, IL and can be reached out via phone at 773-235-7878 and via fax at 773-235-7894.

Location: 1811 W North Ave, Chicago, IL, 60004-5751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982770681
Provider Name
Michael Anthony Pontarelli
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1811 W North Ave, Chicago, IL, 60004-5751
Phone Number
773-235-7878
Fax Number
773-235-7894
Provider Enumeration Date
11/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1634086 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1811 W North Ave
City
Chicago
State
Illinois
Zip
60622-0202
Phone Number
773-235-7878
Fax Number
773-235-7894
person
Provider Business Mailing Address Details
Address
1811 W North Ave
City
Chicago
State
Illinois
Zip
60622-0202
Phone Number
773-235-7878
Fax Number
773-235-7894
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038009742 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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