Ralph Destephano, DC

NPI #1053429670 in Spring Grove, Illinois

Provider Information

NPI Number: 1053429670
Entity Type: Individual
Name: Ralph Destephano, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Aug 25, 2006
Last Updated: Oct 7, 2011

Practice Location

Address: 2100 N US HWY 12
Address 2: SUITE 101
City: Spring Grove
State: Illinois
ZIP Code: 60081
Phone: (815) 675-0675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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