Provider Demographics
NPI:1912204330
Name:CARPANZANO, NADIA RACHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:NADIA
Middle Name:RACHAEL
Last Name:CARPANZANO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:NADIA
Other - Middle Name:RACHAEL
Other - Last Name:LOWERS-ESMAIL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:365 E BAILEY RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-1415
Mailing Address - Country:US
Mailing Address - Phone:630-536-8002
Mailing Address - Fax:
Practice Address - Street 1:365 E BAILEY RD
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-1415
Practice Address - Country:US
Practice Address - Phone:630-536-8002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-21
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011930111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor