Individual
CLAUDETTE PATRICIA CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
22 N UNION ST, AURORA, IL 60505-3514
(630) 820-5566
Mailing address
5316 W WAVELAND AVE, CHICAGO, IL 60641-3353
(773) 587-1036
(847) 352-0423
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011392
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038011392
ILLINOIS DIV OF PROFESSIONAL REGULATION
IL
Enumeration date
04/16/2009
Last updated
04/16/2009
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