Individual
LA JENA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3444 N HALSTED ST, CHICAGO, IL 60657-9492
(773) 525-9100
Mailing address
5800 W ADAMS ST, 2E, CHICAGO, IL 60644-4660
(312) 757-9137
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012710
IL
Other
Enumeration date
02/04/2015
Last updated
05/26/2015
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