Individual
DR. JOHN ROBERT LONGINOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1144 LAKE ST, SUITE 207, OAK PARK, IL 60301-6705
(708) 386-7570
(708) 386-7595
Mailing address
804 BONNIE BRAE CT, BOLINGBROOK, IL 60440-1128
(630) 739-5492
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038005479
IL
Other
Enumeration date
07/19/2006
Last updated
04/19/2011
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