Organization
HOMER GLEN CHIROPRACTIC CENTER, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER DOUGLAS MAHOLY D.C. (CO-OWNER)
(815) 302-8763
Entity
Organization
Contact information
Practice address
13161 W 143RD ST, SUITE 204B, HOMER GLEN, IL 60491-6890
(708) 301-9121
(708) 301-4372
Mailing address
13161 W 143RD ST, SUITE 204B, HOMER GLEN, IL 60491-6890
(708) 301-9121
(708) 301-4372
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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