Organization
DIAMOND MEDICAL AND THERAPY GROUP, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH CAMPOBASSO D.C. (PRESIDENT)
(815) 634-0757
Entity
Organization
Contact information
Practice address
1380 E DIVISION ST, DIAMOND, IL 60416-9785
(815) 634-0757
Mailing address
1380 E DIVISION ST, DIAMOND, IL 60416-9785
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
04/28/2015
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