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Organization
JBS WELLNESS, LLC.
Active
Organization
JBS WELLNESS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER JACKSON (OFFICE MANAGER)
(847) 680-9200
Entity
Organization
Contact information
Practice address
731 S IL ROUTE 21 STE 140, GURNEE, IL 60031-3812
(847) 680-9200
(847) 680-9205
Mailing address
731 S IL ROUTE 21 STE 140, GURNEE, IL 60031
(847) 680-9200
(847) 680-9205
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.010912
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SSN
381969879
MI
Enumeration date
01/31/2017
Last updated
01/31/2017
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