Individual
JOE DIVELBISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14411 KISHWAUKEE VALLEY RD, WOODSTOCK, IL 60098-9631
(630) 624-6199
Mailing address
6403 LONGFORD DR, MCHENRY, IL 60050-8069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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