person
Ezequiel Maldonado-vazquez
Chiropractor in St Charles, Illinois
NPI 1366063984

Ezequiel Maldonado-vazquez is a Chiropractor based in St Charles, IL. Ezequiel Maldonado-vazquez practices in St Charles, IL. The NPI Number for Ezequiel Maldonado-vazquez is 1366063984 and holds a License No. 38013547 (Illinois).

The current practice location address for Ezequiel Maldonado-vazquez is 2325 Dean St Ste 800O, St Charles, IL and can be reached out via phone at 331-442-5140 and via fax at 217-954-0135.

Location: 2325 Dean St Ste 800O, St Charles, IL, 60175-4821
person
Provider Profile Details
NPI Number
1366063984
Provider Name
Ezequiel Maldonado-vazquez
Credential
Provider Entity Type
Individual
Gender
Male
Address
2325 Dean St Ste 800O, St Charles, IL, 60175-4821
Phone Number
331-442-5140
Fax Number
217-954-0135
Provider Enumeration Date
05/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2325 Dean St Ste 800O
City
State
Zip
60175-4821
Phone Number
331-442-5140
Fax Number
217-954-0135
person
Provider Business Mailing Address Details
Address
2325 Dean St Ste 800O
City
State
Zip
60175-4821
Phone Number
331-442-5140
Fax Number
217-954-0135
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
38013547 (Illinois)
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 interrelationship with other body systems.
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