Individual
DR. CHRISTOPHER JOSEPH DEFABIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5215 N RAVENSWOOD AVE STE 105, CHICAGO, IL 60640-1670
(773) 878-7330
Mailing address
621 W MELROSE ST APT E3, CHICAGO, IL 60657-3425
(908) 268-8790
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013409
IL
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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