Michael Edward Decubellis DC

NPI 1629222054 - Chiropractor - 111N00000X

NPI Details
NPI 1629222054
Gender Male
Enumeration Date 11/12/2008
Last Updated 03/26/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
5157 MAIN ST
SUITE 200
DOWNERS GROVE IL, 60515-4616, US
Phone (630) 435-6461
Fax (630) 960-9924
Business Location
5157 MAIN ST
SUITE 200
DOWNERS GROVE IL, 60515-4616, US
Phone (630) 435-6461
Fax (630) 960-9924
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038-011235
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According to our database, Michael Edward Decubellis DC NPI is 1629222054, taxonomy code is 111N00000X and license number is 038-011235, license state is located at Illinois. Michael Edward Decubellis DC physically located at 5157 Main St, Downers Grove IL, 60515-4616. NPI Number Michael Edward Decubellis DC has the Individual type.

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1629222054 NPI number is provided on an as is basis without warranty of any kind. 1629222054 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Edward Decubellis DC are for informational purposes only.