# KELLY A FALLON DC LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134253495
- **Authorized official:** DR. KELLY ANN FALLON DC (OWNER)
- **Authorized official phone:** (630) 881-9183

## Contact information

- **Practice address:** 1360 N SANDBURG TER, SUITE 101, CHICAGO, IL 60610-2075
- **Practice address phone:** (312) 944-4653
- **Practice address fax:** (312) 944-0747
- **Mailing address:** 1360 N SANDBURG TER, CHICAGO, IL 60610-2075
- **Mailing address phone:** (312) 944-4653
- **Mailing address fax:** (312) 944-0747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | IL | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 08/22/2020