Individual
JILLIAN MERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
524 W STATE ST, GENEVA, IL 60134-2154
(630) 232-7611
(773) 337-9106
Mailing address
524 W STATE ST, GENEVA, IL 60134-2154
(630) 232-7611
(773) 337-9106
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012663
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038012663
IL LICENSE
IL
Enumeration date
08/06/2014
Last updated
08/06/2014
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