Individual
JOSEPH MAIETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6707 26TH ST, BERWYN, IL 60402-2502
(708) 749-8922
Mailing address
6707 26TH ST, BERWYN, IL 60402-2502
(708) 749-8922
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007387
IL
Other
Enumeration date
06/26/2006
Last updated
01/19/2009
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