Individual
JESSICA L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3055 W ARMITAGE AVE, CHICAGO, IL 60647-3862
(773) 767-3822
(773) 767-3944
Mailing address
3055 W ARMITAGE AVE, CHICAGO, IL 60647-3862
(773) 767-3822
(773) 767-3944
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011741
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038011741
ILLINOIS STATE LICENSE #
IL
Enumeration date
11/29/2010
Last updated
11/29/2010
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