Spring Grove Medical Offices Ltd
NPI #1740332592 in Spring Grove, Illinois
Provider Information
- NPI Number
- 1740332592
- Entity Type
- Organization
- Organization Name
- Spring Grove Medical Offices Ltd
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Sep 20, 2011
Practice Location
- Address
- 2100 ROUTE 12
- Address 2
- SUITE 101
- City
- Spring Grove
- State
- Illinois
- ZIP Code
- 60081
- Phone
- (815) 675-0675
Authorized Official
- Name
- RALPH DESTEPHANO, DC
- Title
- PRESIDENT
- Phone
- (815) 675-0675
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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