Donald P. Mammano, D.C., S.C.

LBN: Donald P. Mammano, D.C., S.C.
Donald P. Mammano, D.C., S.C. is an health care organization with primary practice located at 1304 Gemini Cir Suite 2, Ottawa IL 61350-1689. The organization recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as the primary health care specialty. Donald P. Mammano, D.C., S.C. can be contacted via phone (815) 434-5555, or through Mammano, Donald Peter via phone (815) 434-5555.

Contact Information

Primary practice address
1304 Gemini Cir Suite 2 Ottawa IL 61350-1689
Phone: (815) 434-5555
Fax: (815) 434-5568
Website:
Map and Directions
Authorized official contact:
Name: Mammano, Donald Peter D.C., F.A.C.O.
Phone: (815) 434-5555

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 038-003506 Illinois

Profile Details

NPI number 1679792477
LBN Legal business name Donald P. Mammano, D.C., S.C.
DBA Doing business as
Authorized official Mammano, Donald Peter D.C., F.A.C.O.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Jun 13th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679792477 NPPES
Illinois Other 5015067-69 BLUE CROSS/BLUE SHIELD

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