LOUIS THOMAS DISTASIO

SPRINGFIELD, IL
NPI1629153085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: IL  198000025)
Enumeration Date2006-10-26
Last Update Date2020-12-08
Business Address
LOUIS THOMAS DISTASIO L.AC.
716 S 2ND ST.
SPRINGFIELD, IL 62704
Phone number: 217-544-8118
Mailing Address
LOUIS THOMAS DISTASIO L.AC.
716 S 2ND ST.
SPRINGFIELD, IL 62704
Phone number: 217-544-8118
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