Individual provider · Type 1 NPI
Joseph S. Khairallah, DC
Chiropractor · Peoria, IL
NPI number
1346308376
Active
Practice location
4501 N Sterling Ave, Suite 104
Peoria, IL 61615-3834
Fax (309) 679-9581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1346308376
Joseph S. Khairallah, DC's National Provider Identifier is 1346308376, issued on Dec 4, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.