Individual
DR. JONATHAN ALLEN HAIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3900 WASHINGTON ST STE I, GURNEE, IL 60031-5715
(847) 782-9280
(847) 782-9285
Mailing address
4625 SAINT REGIS DR, RACINE, WI 53403-3988
(262) 554-1978
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0004070-012
WI
111N00000X
Chiropractor
Primary
038-01029
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932423
BLUE CROSS PROVIDER #
IL
Enumeration date
01/30/2007
Last updated
07/09/2007
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