Individual
DR. KORY STASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
112 W BETHALTO BLVD, BETHALTO, IL 62010-1703
(618) 304-6360
Mailing address
112 W BETHALTO BLVD, BETHALTO, IL 62010-1703
(618) 304-6360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012925
IL
Other
Enumeration date
01/06/2016
Last updated
12/15/2016
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