Provider Demographics
NPI:1861717670
Name:MALOOLEY CHIROPRACTIC, LLC.
Entity type:Organization
Organization Name:MALOOLEY CHIROPRACTIC, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MALOOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-639-4468
Mailing Address - Street 1:652 NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-2073
Mailing Address - Country:US
Mailing Address - Phone:847-639-4468
Mailing Address - Fax:
Practice Address - Street 1:652 NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-2073
Practice Address - Country:US
Practice Address - Phone:847-639-4468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty