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Ms. Kelly Dawn Chullen, DC
Chiropractor in Herrin, Illinois
NPI 1780753756

Kelly Dawn Chullen is a Chiropractor based in Herrin, IL. Kelly Dawn Chullen practices in Herrin, IL and has the professional credentials of DC. The NPI Number for Kelly Dawn Chullen is 1780753756 and holds a License No. 038010250 (Illinois).

The current practice location address for Kelly Dawn Chullen is 120 E Herrin St, Herrin, IL and can be reached out via phone at 618-988-9830 and via fax at 618-988-9830.

Location: 120 E Herrin St, Herrin, IL, 62948-3163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780753756
Provider Name
Kelly Dawn Chullen
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
120 E Herrin St, Herrin, IL, 62948-3163
Phone Number
618-988-9830
Fax Number
618-988-9830
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2832012 01 IL BCBS
038010250 05 IL
institution
Provider Business Practice Location Address Details
Address
120 E Herrin St
City
Herrin
State
Illinois
Zip
62948-3163
Phone Number
618-988-9830
Fax Number
618-988-9830
person
Provider Business Mailing Address Details
Address
120 E Herrin St
City
Herrin
State
Illinois
Zip
62948-3163
Phone Number
618-988-9830
Fax Number
618-988-9830
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038010250 (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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