Organization
ELLIS CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIEL G ELLIS D.C. (CHIROPRACTOR)
(773) 344-7253
Entity
Organization
Contact information
Practice address
805 W JEFFERSON ST, UNIT A, SHOREWOOD, IL 60404-7379
(815) 725-8660
Mailing address
805 W JEFFERSON ST, UNIT A, SHOREWOOD, IL 60404-7379
(815) 725-8660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011667
IL
Other
Enumeration date
03/01/2012
Last updated
06/18/2012
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