Organization
ILLINOIS SPINE AND SPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON SEBBY DC (OWNER/CHIROPRACTOR)
(815) 228-0992
Entity
Organization
Contact information
Practice address
2 NORTHFIELD PLZ STE 100, NORTHFIELD, IL 60093-1217
(815) 228-0992
Mailing address
2 NORTHFIELD PLZ STE 100, NORTHFIELD, IL 60093-1217
(847) 957-8660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038011836
CHIROPRACTIC LICENSE
IL
Enumeration date
10/04/2021
Last updated
10/20/2021
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