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Individual

DR. JENNIFER LYNN PENDERGAST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
411 E CONGRESS PKWY, SUITE C, CRYSTAL LAKE, IL 60014-6247
(815) 455-8213
(815) 455-8219
Mailing address
411 E CONGRESS PKWY, SUITE C, CRYSTAL LAKE, IL 60014-6247
(815) 455-8213
(815) 455-8219

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012669
IL

Other

Enumeration date
07/29/2015
Last updated
07/29/2015
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