Individual
JEROME R. OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8054 S WESTERN AVE, CHICAGO, IL 60620-5936
(773) 776-5700
(773) 776-5800
Mailing address
8054 S WESTERN AVE, CHICAGO, IL 60620-5936
(773) 776-5700
(773) 776-5800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0380070215
IL
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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