Individual
DR. GARRETT EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7323 NORTHGATE WAY UNIT 9, DOWNERS GROVE, IL 60516-4058
(773) 250-1234
Mailing address
6101 W WARWICK AVE, CHICAGO, IL 60634-2557
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012702
IL
Other
Enumeration date
09/30/2014
Last updated
05/02/2018
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