Organization
EBALO CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J EBALO D.C. (OWNER)
(309) 755-0323
Entity
Organization
Contact information
Practice address
1608 10TH ST, EAST MOLINE, IL 61244-1405
(309) 755-0323
(309) 755-9192
Mailing address
1608 10TH ST, EAST MOLINE, IL 61244-1405
(309) 755-0323
(309) 755-9192
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-0004875
IL
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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