Individual
DR. DAVID C KOLBABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., CCN, DACBN
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
038-004839
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3500
DIPLOMATE CLINICAL NUTRIT
IL
Enumeration date
01/16/2007
Last updated
02/28/2013
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