Wellness From The Inside Out Family Chiropractic

LBN: Mary Tm Dicerbo, Pc
Wellness From The Inside Out Family Chiropractic is an health care organization with primary practice located at 765 Ela Rd Suite 105, Lake Zurich IL 60047-2385. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Mary Tm Dicerbo, Pc can be contacted via phone (847) 550-1115, or through Dicerbo, Mary Tm via phone (847) 550-1115.

Contact Information

Primary practice address
765 Ela Rd Suite 105 Lake Zurich IL 60047-2385
Fax: (847) 550-1117
Website:
Authorized official contact:
Name: Dicerbo, Mary Tm Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1770703100
LBN Legal business name Mary Tm Dicerbo, Pc
DBA Doing business as Wellness From The Inside Out Family Chiropractic
Authorized official Dicerbo, Mary Tm Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Oct 12th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770703100 NPPES
Illinois Other 04932472 BCBS

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