Provider Demographics
NPI:1083935993
Name:KEATING, JAMES B III (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:KEATING
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:322 W EDSON PL
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-3822
Mailing Address - Country:US
Mailing Address - Phone:219-873-4976
Mailing Address - Fax:
Practice Address - Street 1:97 DOVER ST
Practice Address - Street 2:SUITE 500
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-7380
Practice Address - Country:US
Practice Address - Phone:317-600-3070
Practice Address - Fax:317-268-6361
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL038.011572111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor