DERRICK D WALLERY

CHICAGO, IL
NPI1437311701
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: IL  038008088)
Additional Taxonomies111N00000X Chiropractor
(Licence: MI  2301401202)
Enumeration Date2008-06-27
Last Update Date2024-06-13
Business Address
Dr. DERRICK D WALLERY D.C.
4176 W MONTROSE AVE
CHICAGO, IL 60641-2161
Phone number: 773-283-3131
Mailing Address
Dr. DERRICK D WALLERY D.C.
PO BOX 937
DIXON, IL 61021-0937
Phone number: 738-440-1237
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