Individual
GABRIEL GRIFFITH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
127 CAPISTA DR, SHOREWOOD, IL 60404-8551
(815) 609-6150
(815) 774-0235
Mailing address
101 HEMPSTEAD PL, COMMUNITY CHIROPRACTIC CENTER, JOLIET, IL 60433-1745
(815) 774-9985
(815) 774-0235
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011667
IL
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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