Individual
DR. JOSE DAVID TEJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2166 OGDEN AVE, AURORA, IL 60504-7215
(630) 375-9444
(630) 375-9660
Mailing address
2166 OGDEN AVE, AURORA, IL 60504-7215
(630) 375-9444
(630) 375-9660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009944
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232400
BCBS PROVIDER #
IL
Enumeration date
12/18/2006
Last updated
07/08/2007
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