Individual
DR. RAIMAND F KHAIRALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
63 ANDERSON AVE STE A, MIDDLEBORO, MA 02346-1537
(508) 947-1411
(508) 946-4413
Mailing address
4501 N STERLING AVE, SUITE 104, PEORIA, IL 61615-3834
(309) 679-9575
(309) 679-9581
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-010045
IL
111N00000X
Chiropractor
Primary
CH 2766
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y36936
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/15/2006
Last updated
11/04/2019
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