Organization · Type 2 NPI
Robert J. Didomenico, D.c., P.c.
Chiropractor · Chicago, IL
NPI number
1548547706
Active
Practice location
711 W. North Ave, 201
Chicago, IL 60610-1042
Fax (312) 664-9181
Mailing address
711 W. North Avenue, 201
Chicago, IL 60610-1042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038006616 (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 1548547706
Robert J. Didomenico, D.c., P.c.'s National Provider Identifier is 1548547706, issued on Nov 15, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Nov 15, 2011.