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John D Poulos, DC
Chiropractor in Niles, Illinois
NPI 1891714671

John D Poulos is a Chiropractor based in Niles, IL. John D Poulos practices in Niles, IL and has the professional credentials of DC. The NPI Number for John D Poulos is 1891714671 and holds a License No. (Illinois).

The current practice location address for John D Poulos is 9194 W Golf Rd, Niles, IL and can be reached out via phone at 847-795-1700 and via fax at 847-795-1750.

Location: 9194 W Golf Rd, Niles, IL, 60714-5806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891714671
Provider Name
John D Poulos
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
9194 W Golf Rd, Niles, IL, 60714-5806
Phone Number
847-795-1700
Fax Number
847-795-1750
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1630049 01 IL BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
9194 W Golf Rd
City
Niles
State
Illinois
Zip
60714-5806
Phone Number
847-795-1700
Fax Number
847-795-1750
person
Provider Business Mailing Address Details
Address
9194 W Golf Rd
City
Niles
State
Illinois
Zip
60714-5806
Phone Number
847-795-1700
Fax Number
847-795-1750
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(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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