Individual
JESSICA DAVENPORT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
546 S RANDALL RD STE F, ST CHARLES, IL 60174-5914
(630) 443-0400
Mailing address
2625 BUTTERFIELD RD STE 301N, OAK BROOK, IL 60523-1266
(630) 468-1824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038013331
IL
Other
Enumeration date
09/07/2014
Last updated
08/06/2019
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