Provider Demographics
NPI:1386603520
Name:FIORINI, AUGUST ANTHONY (DC)
Entity type:Individual
Prefix:MR
First Name:AUGUST
Middle Name:ANTHONY
Last Name:FIORINI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4331 LINCOLN HWY
Mailing Address - Street 2:STE. G
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2469
Mailing Address - Country:US
Mailing Address - Phone:708-747-3371
Mailing Address - Fax:708-747-9011
Practice Address - Street 1:4331 LINCOLN HWY
Practice Address - Street 2:STE. G
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-2469
Practice Address - Country:US
Practice Address - Phone:708-747-3371
Practice Address - Fax:708-747-9011
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-003509111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL350003026OtherRAILROAD MEDICARE
IL248750Medicare PIN