Individual
LUCAS DANIEL DIMASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOC
Contact information
Practice address
106 S EMERSON ST, MOUNT PROSPECT, IL 60056-3220
(847) 610-0115
Mailing address
106 S EMERSON ST, MOUNT PROSPECT, IL 60056-3220
(847) 610-0115
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013763
IL
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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