Individual
ALI M DIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
30 N WILLIAMS ST, CRYSTAL LAKE, IL 60014-4471
(815) 893-8150
Mailing address
131 E JANATA BLVD, APT 3B, LOMBARD, IL 60148-5962
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012743
IL
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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