# KBJ CHIROPRACTIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114272010
- **Authorized official:** DR. BRYON COKER DC (OWNER)
- **Authorized official phone:** (815) 577-8527

## Contact information

- **Practice address:** 1736 ESSINGTON RD, JOLIET, IL 60435-1600
- **Practice address phone:** (815) 577-8527
- **Mailing address:** 1736 ESSINGTON RD, JOLIET, IL 60435-1600
- **Mailing address phone:** (815) 577-8527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 038009082 | IL | Yes |

## Other

- **Enumeration date:** 07/17/2012
- **Last updated:** 07/17/2012