Individual
DR. JACOB MICHAEL HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1200 W LOUCKS AVE, PEORIA, IL 61604-2604
(309) 682-6624
(309) 682-6625
Mailing address
1200 W LOUCKS AVE, PEORIA, IL 61604-2604
(309) 682-6624
(309) 682-6625
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010924
IL
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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