Individual
JESUS D FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 W ROOSEVELT RD STE 126, WEST CHICAGO, IL 60185-4834
(630) 660-6574
Mailing address
245 W ROOSEVELT RD STE 126, WEST CHICAGO, IL 60185-4834
(630) 660-6574
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038014056
IL
111NR0400X
Rehabilitation Chiropractor
038014056
IL
Other
Enumeration date
09/20/2023
Last updated
04/07/2024
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