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Organization
OLD TOWN CHIROPRACTIC CENTER PC
Active
Organization
OLD TOWN CHIROPRACTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID KELLY D.C. (CHIROPRACTIC OWNER)
(630) 893-7313
Entity
Organization
Contact information
Practice address
160 S BLOOMINGDALE RD, SUITE D, BLOOMINGDALE, IL 60108-1479
(630) 893-7313
(630) 893-7453
Mailing address
160 S. BLOOMINGDALE RD., SUITE D, BLOOMINGDALE, IL 60108-1455
(630) 893-7313
(630) 893-7453
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006619
IL
Other
Enumeration date
02/01/2007
Last updated
05/23/2012
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