Individual
DR. JORDAN LEASURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
112 LAKE ST, LIBERTYVILLE, IL 60048-1812
(847) 542-4476
Mailing address
112 LAKE ST, LIBERTYVILLE, IL 60048-1812
(847) 362-4476
(847) 367-5339
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38010764
IL
Other
Enumeration date
09/26/2006
Last updated
03/18/2013
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