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Organization
ROBERT J. DIDOMENICO, D.C., P.C.
Active
Organization
ROBERT J. DIDOMENICO, D.C., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J DIDOMENICO D.C. (CHIROPRACTIC PHYSICIAN)
(312) 664-9060
Entity
Organization
Contact information
Practice address
711 W. NORTH AVE, 201, CHICAGO, IL 60610-1042
(312) 664-9060
(312) 664-9181
Mailing address
711 W. NORTH AVENUE, 201, CHICAGO, IL 60610-1042
(312) 664-9060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006616
IL
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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