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Mary Tm Dicerbo, Pc
Chiropractor in Lake Zurich, Illinois
NPI 1770703100

Mary Tm Dicerbo, Pc is a Chiropractor based in Lake Zurich, IL. Mary Tm Dicerbo, Pc practices in Lake Zurich, IL. The NPI Number for Mary Tm Dicerbo, Pc is 1770703100 and holds a License No. (Illinois).

The current practice location address for Mary Tm Dicerbo, Pc is 765 Ela Rd, Lake Zurich, IL and can be reached out via phone at 847-550-1115 and via fax at 847-550-1117.

Location: 765 Ela Rd, Lake Zurich, IL, 60047-2385
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770703100
Provider Name
Mary Tm Dicerbo, Pc
Credential
Provider Entity Type
Organization
Address
765 Ela Rd, Lake Zurich, IL, 60047-2385
Phone Number
847-550-1115
Fax Number
847-550-1117
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04932472 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
765 Ela Rd
City
Lake Zurich
State
Illinois
Zip
60047-2385
Phone Number
847-550-1115
Fax Number
847-550-1117
person
Provider Business Mailing Address Details
Address
765 Ela Rd
City
Lake Zurich
State
Illinois
Zip
60047-2385
Phone Number
847-550-1115
Fax Number
847-550-1117
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
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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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