MR. Carl J Destefano, DC

NPI #1710989389 in Geneva, Illinois

Provider Information

NPI Number: 1710989389
Entity Type: Individual
Name: MR. Carl J Destefano, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Aug 12, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 65 N RIVER LN
Address 2: BLDG C # 207
City: Geneva
State: Illinois
ZIP Code: 60134-4519
Phone: (630) 208-7760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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