Individual
DR. JEROLD I. MORANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
16545 HALSTED ST, HARVEY, IL 60426-6108
(708) 331-3329
(708) 331-2910
Mailing address
16545 HALSTED ST, HARVEY, IL 60426-6108
(708) 331-3329
(708) 331-2910
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-003550
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01682402
BLUE CROSS BLUE SHIELD
IL
01
—
350018179
RAILROAD MEDICARE
IL
Enumeration date
03/14/2007
Last updated
07/08/2007
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