Organization
DES MEDICAL CORP, S.C.
Active
Other names
Midwest Chiropractic Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA ANN LONGO D.C. (OWNER)
(847) 259-6605
Entity
Organization
Contact information
Practice address
500 W CENTRAL RD, STE 101, MT PROSPECT, IL 60056-2347
(847) 259-6605
(847) 259-8071
Mailing address
500 W CENTRAL RD, STE 101, MT PROSPECT, IL 60056-2347
(847) 259-6605
(847) 259-8071
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008169
IL
174400000X
Specialist
070-009859
IL
Other
Enumeration date
10/10/2006
Last updated
01/20/2015
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