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Ralph Destephano, DC
Chiropractor in Spring Grove, Illinois
NPI 1053429670

Ralph Destephano is a Chiropractor based in Spring Grove, IL. Ralph Destephano practices in Spring Grove, IL and has the professional credentials of DC. The NPI Number for Ralph Destephano is 1053429670 and holds a License No. 038007206 (Illinois).

The current practice location address for Ralph Destephano is 2100 N Us Hwy 12, Spring Grove, IL and can be reached out via phone at 815-675-0675 and via fax at 815-675-9836. You can also correspond with Ralph Destephano through the mailing address at 2100 N US HWY 12, SPRING GROVE, IL - 60081 (mailing address contact number: 815-675-0675).

Location: 2100 N Us Hwy 12, Spring Grove, IL, 60081
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053429670
Provider Name
Ralph Destephano
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2100 N Us Hwy 12, Spring Grove, IL, 60081
Phone Number
815-675-0675
Fax Number
815-675-9836
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2100 N Us Hwy 12
City
Spring Grove
State
Illinois
Zip
60081
Phone Number
815-675-0675
Fax Number
815-675-9836
person
Provider Business Mailing Address Details
Address
2100 N Us Hwy 12
City
Spring Grove
State
Illinois
Zip
60081
Phone Number
815-675-0675
Fax Number
815-675-9836
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038007206 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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