Kelly A Fallon DC

NPI 1053422410 - Chiropractor - 111N00000X

NPI Details
NPI 1053422410
Gender Female
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1360 N. SANDBURG TERRACE
SUITE 101
CHICAGO IL, 60610, US
Phone (312) 944-4653
Fax (312) 944-0747
Business Location
1658 W. DIVERSEY PKWY
UNIT # 2
CHICAGO IL, 60614, US
Phone (630) 881-9183
Fax (773) 751-0722
Toxanomy
Taxonomy Code 111N00000X
License State Florida
License Number CH9138
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According to our database, Dr. Kelly A Fallon DC NPI is 1053422410, taxonomy code is 111N00000X and license number is CH9138, license state is located at Florida. Kelly A Fallon DC physically located at 1360 N. Sandburg Terrace, Chicago IL, 60610. NPI Number Kelly A Fallon DC has the Individual type.

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1053422410 NPI number is provided on an as is basis without warranty of any kind. 1053422410 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly A Fallon DC are for informational purposes only.