Individual
DR. JASON G FENNEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1806 W CUYLER AVE, CHICAGO, IL 60613-2402
(773) 327-2225
Mailing address
1806 W CUYLER AVE, CHICAGO, IL 60613-2402
(773) 327-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010696
IL
Other
Enumeration date
08/15/2006
Last updated
03/07/2008
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