Individual
JEREMY LEIMBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
205 W RANDOLPH ST, 2010, CHICAGO, IL 60606-1867
(312) 593-5194
(877) 575-6373
Mailing address
205 W RANDOLPH ST, 2010, CHICAGO, IL 60606-1867
(312) 593-5194
(877) 575-6373
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011445
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038011445
ILLINOIS LICENSE #
IL
Enumeration date
07/16/2009
Last updated
11/15/2012
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