Provider Demographics
NPI:1518518380
Name:TAMBELLINI, CLAIRE (DC)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:
Last Name:TAMBELLINI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:TRAFTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:327 W MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-1633
Mailing Address - Country:US
Mailing Address - Phone:815-545-8660
Mailing Address - Fax:
Practice Address - Street 1:327 W MAPLE ST
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-1633
Practice Address - Country:US
Practice Address - Phone:815-545-8660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013391111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor