# DR. DAVID C. KOLBABA & ASSOCIATES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437201829
- **Authorized official:** DR. DAVID C. KOLBABA D.C., CCN, DACBN (PRESIDENT)
- **Authorized official phone:** (847) 428-8850

## Contact information

- **Practice address:** 606 W MAIN ST, WEST DUNDEE, IL 60118-2026
- **Practice address phone:** (847) 428-8850
- **Practice address fax:** (847) 428-8887
- **Mailing address:** 606 W MAIN ST, WEST DUNDEE, IL 60118-2026
- **Mailing address phone:** (847) 428-8850
- **Mailing address fax:** (847) 428-8887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 038004839 | IL | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 02/28/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3500 | DIPLOMATE CLINCL NUTRITN | IL |