Organization · Type 2 NPI

John Deangelis LLC

Chiropractor · Lake St. Louis, MO

NPI number 1306170501 Active

Practice location

1000 Lake Saint Louis Blvd, Suite 100
Lake St. Louis, MO 63367-1340

Fax (636) 625-4554

Mailing address

1000 Lake Saint Blvd, Suite 100
Lake St. Louis, MO 63367-1340

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2009002883 (MO)

Chiropractor: 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.

12 other providers at this address

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About NPI 1306170501

John Deangelis LLC's National Provider Identifier is 1306170501, issued on Sep 22, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lake St. Louis, MO. The record was last updated on Jan 12, 2010.