Organization
DR. DAVID C. KOLBABA & ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C. KOLBABA D.C., CCN, DACBN (PRESIDENT)
(847) 428-8850
Entity
Organization
Contact information
Practice address
606 W MAIN ST, WEST DUNDEE, IL 60118-2026
(847) 428-8850
(847) 428-8887
Mailing address
606 W MAIN ST, WEST DUNDEE, IL 60118-2026
(847) 428-8850
(847) 428-8887
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
038004839
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3500
DIPLOMATE CLINCL NUTRITN
IL
Enumeration date
01/17/2007
Last updated
02/28/2013
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