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Dr. Domenic Anthony Cusano JR., DC
Chiropractor in Chicago, Illinois
NPI 1083625545

Domenic Anthony Cusano JR. is a Chiropractor based in Fox River Grove, IL. Domenic Anthony Cusano JR. practices in Chicago, IL and has the professional credentials of DC. The NPI Number for Domenic Anthony Cusano JR. is 1083625545 and holds a License No. 038-05961 (Illinois).

The current practice location address for Domenic Anthony Cusano JR. is 6580 N Northwest Hwy, Chicago, IL and can be reached out via phone at 773-631-0660 and via fax at 773-631-1869.

Location: 6580 N Northwest Hwy, Chicago, IL, 60021
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Provider Profile Details
NPI Number
1083625545
Provider Name
Domenic Anthony Cusano JR.
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
6580 N Northwest Hwy, Chicago, IL, 60021
Phone Number
773-631-0660
Fax Number
773-631-1869
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1682289 01 IL BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
6580 N Northwest Hwy
City
State
Zip
60631-1415
Phone Number
773-631-0660
Fax Number
773-631-1869
person
Provider Business Mailing Address Details
Address
6580 N Northwest Hwy
City
State
Zip
60631-1415
Phone Number
773-631-0660
Fax Number
773-631-1869
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
038-05961 (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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