Organization
DGT CHIROPRACTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN G TAVENNER D.C. (CHIROPRACTIC PHYSICIAN)
(406) 531-1244
Entity
Organization
Contact information
Practice address
213 N STETSON AVE, CHICAGO, IL 60601-7803
(312) 552-3000
(312) 552-3001
Mailing address
213 N STETSON AVE, CHICAGO, IL 60601-7803
(312) 552-3000
(312) 552-3001
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
038011196
IL
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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