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1295080463
CALLISTA C LAY
CHICAGO, IL
NPI
1295080463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038012202)
Enumeration Date
2012-07-13
Last Update Date
2019-12-18
Business Address
Dr. CALLISTA C LAY DC
REVIVE CHIROPRACTIC HEALING CENTER 1169 W MADISON ST
CHICAGO, IL 60607
Phone number: 312-491-8100
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Mailing Address
Dr. CALLISTA C LAY DC
917 W. WASHINGTON BLVD BOX 254
CHICAGO, IL 60607
Phone number: 312-491-8100
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