person
Dr. Richard Stavros Mento, DC
Chiropractor in Rock Island, Illinois
NPI 1548457526

Richard Stavros Mento is a Chiropractor based in Rock Island, IL. Richard Stavros Mento practices in Rock Island, IL and has the professional credentials of DC. The NPI Number for Richard Stavros Mento is 1548457526 and holds a License No. A5287 (Illinois).

The current practice location address for Richard Stavros Mento is 1770 44Th St, Rock Island, IL and can be reached out via phone at 309-786-7171. You can also correspond with Richard Stavros Mento through the mailing address at 1770 44TH ST, ROCK ISLAND, IL - 61201-3916 (mailing address contact number: 309-786-7171).

Location: 1770 44Th St, Rock Island, IL, 61201-3916
person
Provider Profile Details
NPI Number
1548457526
Provider Name
Richard Stavros Mento
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1770 44Th St, Rock Island, IL, 61201-3916
Phone Number
309-786-7171
Fax Number
Provider Enumeration Date
10/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0930446 05 IA
8182044 01 IL BCBS OF ILLINOIS
8126564 01 IL BCBS OF ILLINOIS
institution
Provider Business Practice Location Address Details
Address
1770 44Th St
City
State
Zip
61201-3916
Phone Number
309-786-7171
Fax Number
person
Provider Business Mailing Address Details
Address
1770 44Th St
City
State
Zip
61201-3916
Phone Number
309-786-7171
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
A5287 (Iowa)
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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