Individual
DR. LAUREN DESTEPHANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, DACNB
Contact information
Practice address
2100 N US HIGHWAY 12 STE 101, SPRING GROVE, IL 60081-8308
(815) 675-0675
Mailing address
2100 N US HIGHWAY 12 STE 101, SPRING GROVE, IL 60081-8308
(815) 675-0675
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
038013513
IL
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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