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Dr. Glen John Nisivoccia, DC
Chiropractor in Mokena, Illinois
NPI 1689684979

Glen John Nisivoccia is a Chiropractor based in Homer Glen, IL. Glen John Nisivoccia practices in Mokena, IL and has the professional credentials of DC. The NPI Number for Glen John Nisivoccia is 1689684979 and holds a License No. 038004843 (Illinois).

The current practice location address for Glen John Nisivoccia is 19600 La Grange Rd, Mokena, IL and can be reached out via phone at 708-478-3000 and via fax at 708-478-3007.

Location: 19600 La Grange Rd, Mokena, IL, 60491-8486
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689684979
Provider Name
Glen John Nisivoccia
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
19600 La Grange Rd, Mokena, IL, 60491-8486
Phone Number
708-478-3000
Fax Number
708-478-3007
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
19600 La Grange Rd
City
Mokena
State
Illinois
Zip
60448-9321
Phone Number
708-478-3000
Fax Number
708-478-3007
person
Provider Business Mailing Address Details
Address
19600 La Grange Rd
City
Mokena
State
Illinois
Zip
60448-9321
Phone Number
708-478-3000
Fax Number
708-478-3007
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038004843 (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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