Individual
DR. DIANE ELIZABETH PETROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1211 N LA SALLE DR, CHICAGO, IL 60610-1927
(708) 371-6114
Mailing address
1211 N LA SALLE DR, CHICAGO, IL 60610-1927
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
038008396
IL
Other
Enumeration date
05/29/2013
Last updated
11/06/2015
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