Ebalo Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-0004875 Issued in IL

Legal business name

EBALO CHIROPRACTIC

Practice address

1608 10TH St
East Moline, IL 61244-1405

Phone

(309) 755-0323

Fax

(309) 755-9192

NPI assigned

Oct 8, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas J Ebalo, D.C.NPI 1306853833

Title

Owner

Phone

(309) 755-0323

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Joseph Ebalo, D.C.

  • Chiropractor
  • East Moline, IL
  • NPI 1306853833
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1700213675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 10TH ST",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612441405",
            "telephone_number": "309-755-0323",
            "fax_number": "309-755-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 10TH ST",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612441405",
            "telephone_number": "309-755-0323",
            "fax_number": "309-755-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBALO CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "EBALO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-755-0323",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-0004875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisling Dowd
• Kathy Jean Dusthimer, APRN
• East Moline Dental Center PC
• East Moline School District 37
• Ebalo Chiropractic
• Catherine Suzanne Ebalo, DC
• Thomas Joseph Ebalo, D.C.
• Krista Lynn Eckert, MS, CCC-SLP
• Eden Aurelio MD SC
• Jeffrey A Edwards, MDIV, CADC

• Chiropractor in East Moline, IL
• Providers in East Moline, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.