Individual
HALI DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3620 N LINCOLN AVE, CHICAGO, IL 60613-3516
(872) 239-4425
Mailing address
3620 N LINCOLN AVE, CHICAGO, IL 60613-3516
(872) 239-4425
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038014324
IL
111NR0400X
Rehabilitation Chiropractor
Primary
CH-60984042
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH-60984042
CHIROPRACTIC LICENSE
WA
Enumeration date
09/05/2019
Last updated
03/19/2026
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