Individual
DR. KEITH E OLDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1209 W GRACE ST, CHICAGO, IL 60613-2805
(773) 525-2225
Mailing address
1209 W GRACE ST, CHICAGO, IL 60613-2805
(773) 525-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-011-840
IL
111N00000X
Chiropractor
1588
OH
Other
Enumeration date
09/29/2006
Last updated
03/20/2019
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