Organization
CHICAGOLAND SPORT CHIROPRACTIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL D MALOOF DC (PRESIDENT)
(312) 909-8128
Entity
Organization
Contact information
Practice address
339 N SCHMIDT RD, BOLINGBROOK, IL 60440-1702
(630) 771-1212
Mailing address
339 N SCHMIDT RD, BOLINGBROOK, IL 60440-1702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011796
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038011796
LICENSE
—
Enumeration date
05/07/2014
Last updated
05/07/2014
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