Individual
JEFFREY R HASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1010 FAIRWAY DR, FREEPORT, IL 61032-6600
(815) 599-7730
Mailing address
421 W EXCHANGE ST, PO BOX 268, FREEPORT, IL 61032-4030
(815) 599-7950
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038004624
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038004624
—
IL
Enumeration date
02/08/2006
Last updated
10/23/2017
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