Individual
DR. BARRY T DELASSUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4949 AUTUMN OAKS DR, SUITE A, MARYVILLE, IL 62062-8557
(618) 288-7991
(618) 288-7901
Mailing address
4949 AUTUMN OAKS DR, SUITE A, MARYVILLE, IL 62062-8557
(618) 288-7991
(618) 288-7901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010459
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038010459
—
IL
Enumeration date
04/17/2006
Last updated
07/01/2013
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