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Individual

DR. CHRISTOPHER J HALLIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3505 N. ASHLAND AVE., CHICAGO, IL 60657
(773) 248-4229
(773) 248-4222
Mailing address
1225 W MORSE AVE, #401, CHICAGO, IL 60626-5798
(773) 931-8310

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009504
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35-2311941
FEIN
IL
01
7859515
AETNA
IL
Enumeration date
07/20/2006
Last updated
03/01/2008
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