Anthony R Illo is a Chiropractor in Portland, Oregon. Anthony R Illo practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Anthony R Illo is 1689725442. The last update date is 2008-01-08.
Anthony R Illo's current location address is 7340 Sw Hunziker St Ste 101, Portland, Oregon. You can contact this provider via phone number 5036247249 and fax number 5036844178. The mailing address for Anthony R Illo is 7340 Sw Hunziker St Ste 101, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony R Illo |
|---|---|
| Address | 7340 Sw Hunziker St Ste 101, Portland, Oregon |
| Phone Number | 5036247249 |
| Fax Number | 5036844178 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1689725442 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2008-01-08 |
Provider Mailing Address Detail
| Address | 7340 Sw Hunziker St Ste 101 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972232303 |
| Phone Number | 5036247249 |
| Fax Number | 5036844178 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1609 |
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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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What is the unique identification code assigned to Anthony R Illo by the Centers for Medicare & Medicaid Services?
The Anthony R Illo has been issued the NPI (National Provider Identifier) 1689725442. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Anthony R Illo located?
The Anthony R Illo is located at 7340 Sw Hunziker St Ste 101, Portland, OR 972232303.
What is Anthony R Illo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Anthony R Illo's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689725442 to Anthony R Illo?
The Centers for Medicare & Medicaid Services assigned the 1689725442 to Anthony R Illo on 2007-01-16.
As of what date was the information pertaining to Anthony R Illo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Anthony R Illo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-08.