Provider Demographics
NPI:1356854970
Name:SVENDSBERGET, ANETTE (DC)
Entity Type:Individual
Prefix:MS
First Name:ANETTE
Middle Name:
Last Name:SVENDSBERGET
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 47TH AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265
Mailing Address - Country:US
Mailing Address - Phone:309-592-7000
Mailing Address - Fax:309-524-4745
Practice Address - Street 1:1535 47TH AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265
Practice Address - Country:US
Practice Address - Phone:309-592-7000
Practice Address - Fax:309-524-4745
Is Sole Proprietor?:No
Enumeration Date:2017-11-06
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012983111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor