Organization
JEREMY LEIMBACK DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY LEIMBACK DC (OWNER/CHIROPRACTOR)
(312) 593-5194
Entity
Organization
Contact information
Practice address
205 W RANDOLPH ST, 1205, CHICAGO, IL 60606-1867
(312) 593-5194
(877) 575-6373
Mailing address
205 W RANDOLPH ST, 1205, CHICAGO, IL 60606-1867
(312) 593-5194
(877) 575-6373
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038011445
LICENSE
IL
Enumeration date
11/15/2012
Last updated
07/10/2013
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