Individual
DR. JACK DAVID SHARRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
940 W WILSON ST, BATAVIA, IL 60510-1606
(630) 406-8088
Mailing address
940 W WILSON ST, BATAVIA, IL 60510-1606
(630) 406-8088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-007729
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038007729
—
IL
01
—
350055033
RAILROAD MEDICARE
—
01
—
4527042
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/18/2006
Last updated
02/24/2011
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