Individual
DR. JAMES JOSEPH MALAVOLTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7918 N HALE AVE, PEORIA, IL 61615-2048
(309) 693-7887
(309) 693-3898
Mailing address
7918 N HALE AVE, PEORIA, IL 61615-2048
(309) 693-7887
(309) 693-3898
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006725
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038006725
—
IL
Enumeration date
12/14/2005
Last updated
01/15/2010
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