Organization
FRANKFORT CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN NISIVOCCIA D.C. (PRESIDENT)
(708) 478-3000
Entity
Organization
Contact information
Practice address
19600 LA GRANGE RD, MOKENA, IL 60448-9321
(708) 478-3000
Mailing address
19600 LA GRANGE RD, MOKENA, IL 60448-9321
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-004843
IL
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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