Organization
ILLINOIS ACUPUNCTURE AND SPINE CLINIC IAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA R. BALDINO DC (OWNER/PHYSICIAN)
(847) 284-0787
Entity
Organization
Contact information
Practice address
2401 ROUTE 20, PINGREE GROVE, IL 60140
(847) 284-0787
Mailing address
PO BOX 925, HAMPSHIRE, IL 60140-0925
(847) 284-0787
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011528
IL
Other
Enumeration date
12/02/2011
Last updated
05/14/2012
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