Organization
MARIO FUCINARI DC LLC
Active
Other names
Decatur Back and Neck Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO PAUL FUCINARI DC (OWNER)
21787724074
Entity
Organization
Contact information
Practice address
3350 N WATER ST, SUITE A, DECATUR, IL 62526-2353
(217) 877-2404
(217) 877-2522
Mailing address
3350 N WATER ST, SUITE A, DECATUR, IL 62526-2353
(217) 877-2404
(217) 877-2522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-005800
IL
Other
Enumeration date
02/29/2008
Last updated
09/26/2011
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