Individual
JERRY BRIAN VINCENT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
199 S ADDISON RD STE 106, WOOD DALE, IL 60191-1978
(630) 766-1552
Mailing address
780 E IRVING PARK RD STE 2W, ROSELLE, IL 60172-4343
(706) 728-5109
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.014151
IL
Other
Enumeration date
05/15/2024
Last updated
05/16/2024
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