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Individual

DR. JOE JASPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
136 MAIN ST, UNIT B, EVANSTON, IL 60202-5422
(847) 905-0042
Mailing address
136 MAIN ST, UNIT B, EVANSTON, IL 60202-5422
(847) 905-0042

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Enumeration date
06/25/2007
Last updated
07/08/2007
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