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Individual

DR. JOSEPH S KHAIRALLAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4501 N STERLING AVE, SUITE 104, PEORIA, IL 61615-3834
(309) 679-9575
(309) 679-9581
Mailing address
4501 N STERLING AVE, SUITE 104, PEORIA, IL 61615-3834
(309) 679-9575
(309) 679-9581

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Enumeration date
12/04/2006
Last updated
07/08/2007
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