Sunderlage, Diane Marie

Sunderlage, Diane Marie is an individual health care provider with primary practice located at 1114 N Seminary Ave , Woodstock IL 60098-2959. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is her primary health care specialty. Sunderlage, Diane Marie can be contacted via phone (815) 338-6650.

Contact Information

Primary practice address
1114 N Seminary Ave Woodstock IL 60098-2959
Phone: (815) 338-6650
Fax: (815) 338-6652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois
Other Service Providers / Acupuncturist 171100000X Illinois

Profile Details

NPI number 1922196047
LBN Legal business name Sunderlage, Diane Marie
Credentials DC LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922196047 NPPES
Illinois Other 0005682017 BCBS

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