Organization
CROSS-UP CHIROPRACTIC, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK PATRICK RIEKE DC (OWNER/CHIROPRACTOR)
(847) 984-2702
Entity
Organization
Contact information
Practice address
1025 W PARK AVE, LIBERTYVILLE, IL 60048-2550
(847) 984-2702
(847) 984-2786
Mailing address
1025 W PARK AVE, LIBERTYVILLE, IL 60048-2550
(847) 984-2702
(847) 984-2786
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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