Search › Illinois › 156FX1800X
Dylen Larsen, ABOC
NPI 1023379773 · on the registry since 2012 · sole proprietor
Practice
- Address
- 521 South Street
Suite 1
Belvidere, IL 61008 - Phone
- (815) 520-1303
- Fax
- (815) 975-9327
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-05-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois