Individual
DR. JACK RIEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1025 W PARK AVE, LIBERTYVILLE, IL 60048-2550
(847) 814-3208
Mailing address
1025 W PARK AVE, LIBERTYVILLE, IL 60048-2550
(847) 814-3208
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013322
IL
Other
Enumeration date
02/22/2019
Last updated
09/11/2019
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