Individual
JOHN S SUTANTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6S051 STEEPLE RUN DR, NAPERVILLE, IL 60540-3732
(630) 376-0625
Mailing address
6S051 STEEPLE RUN DR, NAPERVILLE, IL 60540-3732
(630) 376-0625
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
—
IL
Other
Enumeration date
08/26/2006
Last updated
07/08/2007
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