Dr. Anthony J. Surrusco, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038006816 Issued in IL

Legal business name

DR. ANTHONY J. SURRUSCO, P.C.

Practice address

421 Park Ave
Clarendon Hills, IL 60514-2701

Phone

(630) 455-0435

Fax

(630) 455-0437

NPI assigned

Mar 13, 2007

Last updated

Oct 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony SurruscoNPI 1477942829

Title

Clinic Director

Phone

(630) 455-0435

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Surrusco

  • Chiropractor
  • Clarendon Hills, IL
  • NPI 1477942829
  Authorized official Same address or phone

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1629101324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 PARK AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605142701",
            "telephone_number": "630-455-0435",
            "fax_number": "630-455-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 PARK AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605142701",
            "telephone_number": "630-455-0435",
            "fax_number": "630-455-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANTHONY J. SURRUSCO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "SURRUSCO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "630-455-0435",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02205510",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramzi Daibis, DDS, MS
• Janea Michelle Davis, M.S.
• Doctors General Laboratory Corp
• Donald V Maduzia O.D. P.C.
• Donald V Maduzia OD PC
• ENT Specialists, LTD
• Cynthia Marie Everhart
• Natalie Lynn Felix, MS CCC-SLP/L
• Joan E. Fox, MA, LCPC
• Mary Ann Gasior, P.T.

• Chiropractor in Clarendon Hills, IL
• Providers in Clarendon Hills, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.