Piccolo Chiropractic Clinic SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38003855 Issued in IL

Legal business name

PICCOLO CHIROPRACTIC CLINIC SC

Practice address

356 N Lake St
Aurora, IL 60506-4186

Phone

(630) 820-0000

Fax

(630) 906-1798

NPI assigned

Jun 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George D Piccolo, D.C.NPI 1558464131

Title

President

Phone

(630) 820-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Dominick Piccolo, DC

  • Chiropractor
  • Aurora, IL
  • NPI 1558464131
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1437354701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 N LAKE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064186",
            "telephone_number": "630-820-0000",
            "fax_number": "630-906-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 N LAKE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064186",
            "telephone_number": "630-820-0000",
            "fax_number": "630-906-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICCOLO CHIROPRACTIC CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "PICCOLO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-820-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38003855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "210654",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physiotherapy Associates Inc
• Kelly Piagnarelli, LCSW
• Zam Piang
• Danielle A Piano, DMD, MS
• Daniel R Piazza, MD
• George Dominick Piccolo, DC
• Andrea Caroline Picl, LCPC
• Meleeza Pidu, COTA/L
• Nicole Dawn Pieart, ATC
• Bradley James Piekielko, D.O.

• Chiropractor in Aurora, IL
• Providers in Aurora, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.