Organization
JACOBY CHIROPRACTIC & SPORTS PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J JACOBY D.C. (OWNER)
(847) 338-7590
Entity
Organization
Contact information
Practice address
401 W ONTARIO ST, SUITE 150, CHICAGO, IL 60654-6957
(847) 338-7590
Mailing address
1735 N PAULINA ST, #301, CHICAGO, IL 60622-1133
(847) 338-7590
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3801113
IL
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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