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Individual

ERIC R. GHISELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2936 N RACINE AVE APT 1F, CHICAGO, IL 60657-4236
(765) 532-5981
Mailing address
2936 N RACINE AVE APT 1F, CHICAGO, IL 60657-4236
(765) 532-5981

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011228
IL

Other

Enumeration date
09/04/2008
Last updated
09/04/2008
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