Individual
DR. LESLIE J BOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
43 W SECOND ST, MANTENO, IL 60950-1240
(815) 200-4362
Mailing address
43 W SECOND ST, MANTENO, IL 60950-1240
(815) 200-4362
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
007407-1
NY
111N00000X
Chiropractor
Primary
038012127
IL
Other
Enumeration date
01/26/2012
Last updated
10/16/2020
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