NPI 1861688699

Malkowski Chiropractic PC

Organisation Health Maintenance Organization Joliet, IL

Practice location

Address: 1736 Essington Rd Suite C, Joliet, IL 60435
Phone: (815) 514-8513
Mailing address: 550 Silver Leaf Drive, Joliet, IL 60431

Authorised official

Name: Becky Ross
Title: Owner
Phone: (815) 514-8513

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 038.010966 (IL)

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Registry record

NPI: 1861688699
Entity type: Organization
NPI issued: 14 Sep 2007
Record last updated: 23 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.