Individual
DR. JENNIFER MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
200 EAST ROOSEVELT RD, LOMBARD, IL 60148
(630) 889-6453
Mailing address
200 EAST ROOSEVELT RD, LOMBARD, IL 60148
(630) 889-6453
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03801617
IL
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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