Most Relevant Information
Provider Data
| NPI Number: | 1003467804 |
| Provider Name: | DINO GERALD O'MARA DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 038.013437 |
Most Important Dates
| Enumeration Date: | 09/23/2019 |
| Last Updated: | 02/02/2024 |
Provider Practice Location
19600 S LA GRANGE RD
MOKENA
IL
604489321
Practice Location Phone/Fax
| Phone: | 7084783000 |
| Fax: | 7084783007 |
Provider Mailing Location
19600 S LA GRANGE RD
MOKENA
IL
604489321
Provider Mailing Phone/Fax
| Phone: | 7084783000 |
| Fax: | 7084783007 |