Dr. Glen John Nisivoccia is a Mokena, Illinois based male chiropractor with 39 years of experience in General Chiropractor. He completed his graduation from Other in 1985. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Glen John Nisivoccia as General Chiropractor is 038004843 in Illinois. Dr. Glen John Nisivoccia is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Glen John Nisivoccia speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D C
Experience:
39+ years
Medical School Attended:
Other
Graduation Year:
1985
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
19600 La Grange Rd, Mokena, Illinois, 60448-9321
Phone:
708-478-3000
Fax:
708-478-3007
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8426020181
Enrollment ID:
I20051213000162
NPI Number:
1689684979
NPI Enumeration Date:
09 Aug, 2006
NPI Last Update On:
17 Jun, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Glen John Nisivoccia are as mentioned below.
License Number
Specialization
State
Status
038004843
Chiropractor
Illinois
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Glen John Nisivoccia is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Frankfort Spinal Rehabilitation And Physical Therapy Inc (8729050489)
4
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
13129 Hidden Valley Dr, Homer Glen, Illinois
Zip:
60491-8486
Phone Number:
708-301-8723
Fax Number:
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Patients can reach Dr. Glen John Nisivoccia at 19600 La Grange Rd, Mokena, Illinois or can call to book an appointment on 708-478-3000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.