Destephano, Lauren

Destephano, Lauren is an individual health care provider with primary practice located at 2100 N Us Highway 12 Ste 101 , Spring Grove IL 60081-8308. She recently has only one registered license in Chiropractic Providers / Neurology, which is considered as her primary health care specialty. Destephano, Lauren can be contacted via phone (815) 675-0675.

Contact Information

Primary practice address
2100 N Us Highway 12 Ste 101 Spring Grove IL 60081-8308
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 038013513 Illinois

Profile Details

NPI number 1376175893
LBN Legal business name Destephano, Lauren
Credentials DC, DACNB
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2020
Last updated Feb 12th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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