Organization
LA CLINICA, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE MARIO JAO DC (CEO)
(708) 329-0039
Entity
Organization
Contact information
Practice address
5832 W CERMAK RD, CICERO, IL 60804-2133
(708) 329-0039
(708) 329-0040
Mailing address
5832 W CERMAK RD, CICERO, IL 60804-2133
(708) 329-0039
(708) 329-0040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
12/02/2006
Last updated
08/22/2020
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