Provider Demographics
NPI:1558503946
Name:APPLIED CHIROPRACTIC ARTS
Entity Type:Organization
Organization Name:APPLIED CHIROPRACTIC ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:PUSATERI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-934-4144
Mailing Address - Street 1:1560 W ALGONQUIN RD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-1575
Mailing Address - Country:US
Mailing Address - Phone:847-934-4144
Mailing Address - Fax:847-934-4159
Practice Address - Street 1:1560 W ALGONQUIN RD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-1575
Practice Address - Country:US
Practice Address - Phone:847-934-4144
Practice Address - Fax:847-934-4159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0380003967111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL616831Medicare PIN