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KHAIRALLAH CHIROPRACTIC PC NPI 1457419566


NPI Information

NPI: 1457419566
Provider Name: KHAIRALLAH CHIROPRACTIC PC

Doing Business As: JSK CHIROPRACTIC PC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4501 N STERLING AVE
SUITE 104
PEORIA, IL
ZIP 61615
Phone: (309) 679-9575
Get Directions

KHAIRALLAH CHIROPRACTIC PC is a chiropractor in Peoria, IL. The provider is 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. KHAIRALLAH CHIROPRACTIC PC NPI is 1457419566. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jsk Chiropractic Pc.

The provider's business location address is:

4501 N STERLING AVE
SUITE 104
PEORIA, IL
ZIP 61615-834
Phone: (309) 679-9575

The provider's authorized official is Joseph S Khairallah .
The authorized official title is President and has the following contact phone number (309) 679-9575.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
107232021OTHERILLINOISBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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