Individual
GREGORY DECLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
477 S SPRING RD, ELMHURST, IL 60126-3857
(630) 530-0506
Mailing address
477 S SPRING RD, ELMHURST, IL 60126-3857
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013094
IL
Other
Enumeration date
11/09/2017
Last updated
07/01/2019
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