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Organization
JENKINS CHIROPRACTIC LTD
Active
Organization
JENKINS CHIROPRACTIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOIRA C JENKINS DC (VICE PRESIDENT JENKINS CHIROPRACTIC)
(630) 464-5797
Entity
Organization
Contact information
Practice address
477 E BUTTERFIELD RD STE 205, LOMBARD, IL 60148
(630) 796-2083
(630) 442-7493
Mailing address
477 E BUTTERFIELD RD STE 205, LOMBARD, IL 60148-5628
(630) 796-2083
(630) 442-7493
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
NULL
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2215631
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/09/2007
Last updated
05/19/2018
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