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Organization

JACKSON CHIROPRACTIC & REHABILITATION, LLC

Active
Parent organization
RHICC, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
RHICC, LLC
Authorized official
DR. MARVIN Z JACKSON JR. D.C. (CHIROPRACTIC PHYSICIAN)
(708) 529-7111
Entity
Organization

Contact information

Practice address
3860 W 95TH ST, UNIT 6, EVERGREEN PARK, IL 60805-2034
(708) 529-7111
(866) 403-6309
Mailing address
3860 W 95TH ST, UNIT 6, EVERGREEN PARK, IL 60805-2034
(708) 529-7111
(866) 403-6309

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
11/06/2013
Last updated
11/06/2013
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