Individual
DIANE MARIE SUNDERLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC LAC
Contact information
Practice address
1114 N SEMINARY AVE, WOODSTOCK, IL 60098-2959
(815) 338-6650
(815) 338-6652
Mailing address
1114 N SEMINARY AVE, WOODSTOCK, IL 60098-2959
(815) 338-6650
(815) 338-6652
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
IL
171100000X
Acupuncturist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005682017
BCBS
IL
Enumeration date
10/11/2006
Last updated
09/11/2025
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