Individual
JERIES R JREISAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
47 E CHICAGO AVE STE 332B, NAPERVILLE, IL 60540-5360
(708) 673-3334
Mailing address
47 E CHICAGO AVE STE 332B, NAPERVILLE, IL 60540-5360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038013721
IL
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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