Provider Demographics
NPI:1407971708
Name:BIFERO, ANTONIO E (DC)
Entity type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:E
Last Name:BIFERO
Suffix:
Gender:U
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E. ROOSEVELT RD
Mailing Address - Street 2:BOX 291
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4539
Mailing Address - Country:US
Mailing Address - Phone:630-889-6449
Mailing Address - Fax:
Practice Address - Street 1:9194 W GOLF RD
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-5806
Practice Address - Country:US
Practice Address - Phone:729-284-7401
Practice Address - Fax:847-795-1750
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010099111N00000X
IL38010099111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist
Yes111N00000XChiropractic ProvidersChiropractor