Individual
DR. MARK WILLIAM SEVERANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
300 CENTER DR, SUITE 109, VERNON HILLS, IL 60061-1525
(847) 984-6460
(847) 984-6462
Mailing address
660 DIAMOND POINTE DR, MUNDELEIN, IL 60060-5602
(224) 578-5175
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009481
IL
Other
Enumeration date
05/03/2007
Last updated
06/21/2012
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