MR. NICKOLAS WILLIAM SEVERINO D.C. NPI 1376207795

NPI Information

NPI: 1376207795
Provider Name: MR. NICKOLAS WILLIAM SEVERINO, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
318 MEMORIAL DR STE 200
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 455-1910
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MR. Nickolas William Severino, D.C. is a chiropractor in Crystal Lake, IL. The provider is a provider qualified by 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. MR. Nickolas William Severino, D.C. NPI is 1376207795. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

318 MEMORIAL DR STE 200
CRYSTAL LAKE, IL
ZIP 60014-267
Phone: (815) 455-1910
Fax: (815) 455-2541

The enumeration date for this NPI number is 10/22/2021 and was last updated on 10/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		038.013758	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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