Individual
BRETT CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
408 W MAIN ST, OTTAWA, IL 61350-2802
(815) 313-5474
Mailing address
417 CORNELL ST, OTTAWA, IL 61350-3819
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.010931
IL
Other
Enumeration date
05/25/2012
Last updated
01/23/2019
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