Individual
DR. JENNIFER E SARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4809 N SHERIDAN RD, PEORIA, IL 61614-5927
(309) 685-5777
(309) 685-5779
Mailing address
PO BOX 3583, PEORIA, IL 61612-3583
(309) 648-8051
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009008
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7232058
BLUE CROSS BLUE SHIELD
IL
01
—
P00332217
RAILROAD MEDICARE
IL
Enumeration date
03/12/2007
Last updated
07/08/2007
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