Organization
GARRETT EZELL DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRETT PRESTON EZELL DC (CHIROPRACTIC PHYSICIAN)
(312) 451-2707
Entity
Organization
Contact information
Practice address
7323 NORTHGATE WAY UNIT 9, DOWNERS GROVE, IL 60516-4058
(312) 451-2707
Mailing address
6101 W WARWICK AVE, CHICAGO, IL 60634-2557
(312) 451-2707
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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