# JENKINS CHIROPRACTIC LTD

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

## Provider details

- **NPI number:** 1588713994
- **Authorized official:** DR. MOIRA C JENKINS DC (VICE PRESIDENT JENKINS CHIROPRACTIC)
- **Authorized official phone:** (630) 464-5797

## Contact information

- **Practice address:** 477 E BUTTERFIELD RD STE 205, LOMBARD, IL 60148
- **Practice address phone:** (630) 796-2083
- **Practice address fax:** (630) 442-7493
- **Mailing address:** 477 E BUTTERFIELD RD STE 205, LOMBARD, IL 60148-5628
- **Mailing address phone:** (630) 796-2083
- **Mailing address fax:** (630) 442-7493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 05/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2215631 | BLUE CROSS BLUE SHIELD | — |