Organization
DIETZ CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA DIETZ D.C. (CHIROPRACTOR)
(309) 948-9897
Entity
Organization
Contact information
Practice address
703 11TH AVENUE B CT, #6, SILVIS, IL 61282-1614
(309) 948-9897
Mailing address
703 11TH AVENUE B CT, #6, SILVIS, IL 61282-1614
(309) 948-9897
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011485
IL
Other
Enumeration date
10/31/2009
Last updated
10/31/2009
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