Provider Demographics
NPI:1770582769
Name:DIIORIO, DAVID C (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:DIIORIO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2136
Mailing Address - Country:US
Mailing Address - Phone:630-232-6321
Mailing Address - Fax:630-232-9451
Practice Address - Street 1:423 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2136
Practice Address - Country:US
Practice Address - Phone:630-232-6321
Practice Address - Fax:630-232-9451
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038007203111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0004522535OtherBLUE CROSS BLUE SHIELD
ILU48197Medicare UPIN
IL529400Medicare PIN