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Nikolas Destephano, DC
Chiropractor in Spring Grove, Illinois
NPI 1588416762

Nikolas Destephano is a Chiropractor based in Spring Grove, IL. Nikolas Destephano practices in Spring Grove, IL and has the professional credentials of DC. The NPI Number for Nikolas Destephano is 1588416762 and holds a License No. 038.014140 (Illinois).

The current practice location address for Nikolas Destephano is 2100 N Us Highway 12 Ste 101, Spring Grove, IL and can be reached out via phone at 815-675-0675.

Location: 2100 N Us Highway 12 Ste 101, Spring Grove, IL, 60081-8308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588416762
Provider Name
Nikolas Destephano
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2100 N Us Highway 12 Ste 101, Spring Grove, IL, 60081-8308
Phone Number
815-675-0675
Fax Number
Provider Enumeration Date
04/02/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2100 N Us Highway 12 Ste 101
City
Spring Grove
State
Illinois
Zip
60081-8308
Phone Number
815-675-0675
Fax Number
person
Provider Business Mailing Address Details
Address
2100 N Us Highway 12 Ste 101
City
Spring Grove
State
Illinois
Zip
60081-8308
Phone Number
815-675-0675
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038.014140 (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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