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Individual
JEREMY LEIMBACK
Active
Individual
JEREMY LEIMBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011445
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038011445
ILLINOIS LICENSE #
IL
Enumeration date
07/16/2009
Last updated
11/15/2012
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