Individual
CHAD GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1905 LATHAM AVE, LIMA, OH 45805-1637
(419) 228-0000
Mailing address
1905 LATHAM AVE, LIMA, OH 45805-1637
(419) 228-0000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-04989
OH
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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