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Dr. Jonathan David Diaz, D.C.

Chiropractor in West Frankfort, IL. Individual provider (NPI-1).

NPI number1861660102
StatusActive
Last updated in NPPESFeb 20, 2008

Details

NPI
1861660102
Entity type
Individual (NPI-1)
Name
Dr. Jonathan David Diaz
Credential
D.C.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 20, 2008
Last updated
Feb 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor038011132ILYes

Practice location

607 W Oak St
West Frankfort, IL 62896-2561

Phone 618-435-2500

Mailing address

805 N Main St
Benton, IL 62812-1019

Phone 618-435-2500

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