Individual
KEITH ROBERT HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1318 CHICAGO AVE, EVANSTON, IL 60201-4725
(847) 475-4960
Mailing address
4913 N ASHLAND AVE, UNIT 3, CHICAGO, IL 60640-3416
(630) 205-9601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011247
IL
Other
Enumeration date
09/10/2008
Last updated
12/27/2019
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