Anthony Charles Pantanella, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

038-005177 Issued in IL

Practice address

1555 Barrington Rd
BLDG. 1, Ste.335
Hoffman Estates, IL 60169-1144

Phone

(847) 885-1131

Fax

(847) 839-0910

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1518087063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "DOCTOR'S BUILDING ONE, SUITE 335",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691144",
            "telephone_number": "847-885-1131",
            "fax_number": "847-839-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "BLDG. 1, STE.335",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691144",
            "telephone_number": "847-885-1131",
            "fax_number": "847-839-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTANELLA",
        "first_name": "ANTHONY",
        "middle_name": "CHARLES",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038-005177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "0001636402",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internist Chiropractor in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Internist Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.