Physiomed, Sc
NPI #1962599332 in St Charles, Illinois
Provider Information
- NPI Number
- 1962599332
- Entity Type
- Organization
- Organization Name
- Physiomed, Sc
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 6, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 1601 E MAIN ST UNIT D
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60174-2387
- Phone
- (630) 377-7505
Authorized Official
- Name
- RALPH DE JESUS, M.D.
- Title
- PRESIDENT
- Phone
- (847) 998-1414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Specialist |
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