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Organization
DIAMOND MEDICAL AND THERAPY GROUP, S.C.
Active
Organization
DIAMOND MEDICAL AND THERAPY GROUP, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH CAMPOBASSO D.C. (PRESIDENT)
(815) 634-0757
Entity
Organization
Contact information
Practice address
1380 E DIVISION ST, DIAMOND, IL 60416-9785
(815) 634-0757
Mailing address
1380 E DIVISION ST, DIAMOND, IL 60416-9785
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
04/28/2015
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