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Organization
KELLERMANN CHIROPRACTIC INC
Active
Organization
KELLERMANN CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CHARLES GRAY MR. (AGENT)
(224) 778-5140
Entity
Organization
Contact information
Practice address
365 SURRYSE RD STE 260, LAKE ZURICH, IL 60047-2680
(847) 540-7228
Mailing address
365 SURRYSE RD STE 260, LAKE ZURICH, IL 60047-2680
(847) 540-7228
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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