Organization
GOODFELLOW CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G. GOODFELLOW III DC (OWNER)
(773) 237-5757
Entity
Organization
Contact information
Practice address
6630 W HIGGINS AVE, CHICAGO, IL 60656-2138
(773) 237-5757
(773) 442-0194
Mailing address
6630 W HIGGINS AVE, CHICAGO, IL 60656-2138
(773) 237-5757
(773) 442-0194
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008453
IL
Other
Enumeration date
01/08/2011
Last updated
01/23/2013
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