Individual
DR. KELLY A FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1360 N. SANDBURG TERRACE, SUITE 101, CHICAGO, IL 60610
(312) 944-4653
(312) 944-0747
Mailing address
1658 W. DIVERSEY PKWY, UNIT # 2, CHICAGO, IL 60614
(630) 881-9183
(773) 751-0722
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH9138
FL
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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