Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN JOHN NISIVOCCIA, D C
ActiveDR. GLEN JOHN NISIVOCCIA, D C is a Chiropractor healthcare provider located in MOKENA, Illinois. NPI 1689684979 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · MOKENA, IL
Registration Details
- NPI Number
- 1689684979
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2006 (19.829528293533 yrs)
- Last Updated
- Jun 17, 2008
- License
-
038004843 (IL)
Practice Information
- Address
-
19600 LA GRANGE RDMOKENA, IL, 604489321Browse IL providers · Browse ZIP 60448
- Phone
- 7084783000
- Fax
- 7084783007
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in MOKENA, IL
| Name | Credential | NPI |
|---|---|---|
| ASHLY LYNN OCHSNER | — | 1295705796 |
| DR. JONATHAN WILLIAM BULLOCK | D.C. | 1114015815 |
| DR. ROBERT J DIERINGER | DC | 1174603294 |
| DR. JESSICA ANNA BASALA | DC | 1245375344 |
| DR. THOMAS R NORBERG | D.C. | 1699896134 |
| DR. STEPHEN R BEYER | DC | 1922293968 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.