Individual
DANIEL VINCENT FORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2947 OAK PARK AVE, BERWYN, IL 60402-3048
(708) 749-0606
(708) 749-7793
Mailing address
2947 OAK PARK AVE, BERWYN, IL 60402-3048
(708) 749-0606
(708) 749-7793
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009315
IL
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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