Individual
JASON DOMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2210 CAMDEN CT, OAK BROOK, IL 60523-1272
(630) 468-1820
(630) 701-1007
Mailing address
2625 BUTTERFIELD RD, STE 301N, OAK BROOK, IL 60523-1234
(630) 320-6400
(630) 701-1007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012495
IL
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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