Khairallah Chiropractic Pc in Peoria - Chiropractor
Khairallah Chiropractic Pc - NPI 1457419566
Khairallah Chiropractic Pc is a Chiropractor in Peoria, Illinois. Khairallah Chiropractic Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Khairallah Chiropractic Pc is 1457419566. The last update date is 2020-08-22.
Khairallah Chiropractic Pc's current location address is 4501 N Sterling Ave, Peoria, Illinois. You can contact this provider via phone number 3096799575. The mailing address for Khairallah Chiropractic Pc is 4501 N Sterling Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Khairallah Chiropractic Pc |
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Address | 4501 N Sterling Ave, Peoria, Illinois |
Phone Number | 3096799575 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Khairallah S Joseph |
Credentials | D.C. |
Telephone Number | 3096799575 |
NPI Number Detail
NPI Number | 1457419566 |
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Provider Enumeration Date | 2006-12-04 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 4501 N Sterling Ave |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616153834 |
Phone Number | 3096799575 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Definition: 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 inte |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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7232021 | IL | BLUE CROSS BLUE SHIELD |
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What is the unique provider identifier assigned to Khairallah Chiropractic Pc?
The Khairallah Chiropractic Pc has been issued the NPI (National Provider Identifier) 1457419566 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Khairallah Chiropractic Pc's physical address?
The Khairallah Chiropractic Pc is physically located at 4501 N Sterling Ave, in the city of Peoria, IL, with the postal code 616153834.
What is Khairallah Chiropractic Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Khairallah Chiropractic Pc's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457419566 to Khairallah Chiropractic Pc?
The Centers for Medicare & Medicaid Services assigned the 1457419566 to Khairallah Chiropractic Pc on 2006-12-04.
As of what date was the information regarding Khairallah Chiropractic Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Khairallah Chiropractic Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.