Individual
DR. JACQUELYN A BASCHLEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
11673 MAIN ST, ROSCOE, IL 61073-9549
(815) 623-7694
Mailing address
11673 MAIN ST, ROSCOE, IL 61073-9549
(815) 623-7694
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
11/22/2006
Last updated
07/09/2007
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