Organization
JG JOHNSON CHIROPRACTIC OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY GLEN JOHNSON D.C. (OWNER)
(847) 662-3410
Entity
Organization
Contact information
Practice address
20 TOWER CT, SUITE B, GURNEE, IL 60031-5711
(847) 662-3410
(847) 662-3477
Mailing address
20 TOWER CT, SUITE B, GURNEE, IL 60031-5711
(847) 662-3410
(847) 662-3477
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
060-004181
IL
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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