Individual
DR. KYLE EVAN GRISIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1642 W BELMONT AVE, CHICAGO, IL 60657-3018
(312) 792-1900
Mailing address
1642 W BELMONT AVE, CHICAGO, IL 60657-3018
(312) 792-1900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038013197
IL
111N00000X
Chiropractor
33971
CA
Other
Enumeration date
07/31/2017
Last updated
02/01/2024
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