Individual provider · Type 1 NPI
Kenneth Mark Sistino, DC
Chiropractor · Chicago, IL
NPI number
1508149691
Active
Practice location
2229 W Chicago Ave
Chicago, IL 60622-4828
Fax (773) 862-4517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038-006195 (IL) |
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.
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About NPI 1508149691
Kenneth Mark Sistino, DC's National Provider Identifier is 1508149691, issued on Sep 24, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 24, 2011.