Individual
JASON CROXFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6451 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4421
(815) 639-9900
(815) 639-9860
Mailing address
6451 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4421
(815) 639-9900
(815) 639-9860
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009573
IL
Other
Enumeration date
09/12/2005
Last updated
10/03/2012
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