Andre Pisarev is a Chiropractor in Mundelein, Illinois. Andre Pisarev practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Andre Pisarev is 1902806102. The last update date is 2007-07-08.
Andre Pisarev's current location address is 1336 Newport St, Mundelein, Illinois. You can contact this provider via phone number 8478163870. The mailing address for Andre Pisarev is 1336 Newport St, Mundelein, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andre Pisarev |
|---|---|
| Address | 1336 Newport St, Mundelein, Illinois |
| Phone Number | 8478163870 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1902806102 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1336 Newport St |
|---|---|
| City | Mundelein |
| State | Illinois (IL) |
| Post Code | 600604624 |
| Phone Number | 8478163870 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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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 inte |
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Post Comment/ Review Below
What is the Andre Pisarev's unique identification number?
The Andre Pisarev has been assigned the NPI (National Provider Identifier) Number 1902806102 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Andre Pisarev's facilities are situated?
The facilities of Andre Pisarev are physically located at the following address: 1336 Newport St, Mundelein, IL, 600604624.
What is the Andre Pisarev's area of specialization and corresponding taxonomy classification?
The Andre Pisarev's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Andre Pisarev receive its 1902806102 assignment from the Centers for Medicare & Medicaid Services?
The Andre Pisarev was assigned its 1902806102 by the Centers for Medicare & Medicaid Services on 2005-07-28.
As of what date were the details related to Andre Pisarev most recently updated or revised?
The information pertaining to Andre Pisarev, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.