Domenic Anthony Cusano JR. D.C.

NPI 1083625545 - Chiropractor - 111N00000X

NPI Details
NPI 1083625545
Gender Male
Enumeration Date 08/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6580 N NORTHWEST HWY
CHICAGO IL, 60631-1415, US
Phone (773) 631-0660
Fax (773) 631-1869
Business Location
305 MORGAN LANE
FOX RIVER GROVE IL, 60021, US
Phone (773) 631-0660
Fax (773) 631-1869
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038-05961
Remove 1083625545 NPI Number
 

According to our database, Dr. Domenic Anthony Cusano JR. D.C. NPI is 1083625545, taxonomy code is 111N00000X and license number is 038-05961, license state is located at Illinois. Domenic Anthony Cusano JR. D.C. physically located at 6580 N Northwest Hwy, Chicago IL, 60631-1415. NPI Number Domenic Anthony Cusano JR. D.C. has the Individual type.

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1083625545 NPI number is provided on an as is basis without warranty of any kind. 1083625545 is maintained by the National Plan & Provider Enumeration System. The contents of Domenic Anthony Cusano JR. D.C. are for informational purposes only.