Individual
JAMIL MOUSA TANNOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.,
Contact information
Practice address
121 N MAIN ST, WATERLOO, IL 62298-1202
(618) 939-7167
Mailing address
121 N MAIN ST, WATERLOO, IL 62298-1202
(618) 939-7167
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.007988
IL
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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