Provider Demographics
NPI:1063583870
Name:FIORE, FRANK R III (DC)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:R
Last Name:FIORE
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:507 FAIRWAY DRIVE
Mailing Address - Street 2:#111
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563
Mailing Address - Country:US
Mailing Address - Phone:630-527-6260
Mailing Address - Fax:630-527-2494
Practice Address - Street 1:507 FAIRWAY DRIVE
Practice Address - Street 2:#111
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563
Practice Address - Country:US
Practice Address - Phone:630-527-6260
Practice Address - Fax:630-527-2494
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL038-008037111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL482360Medicare PIN