Individual
JONATHAN THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
962 S RANDALL RD STE F, ST CHARLES, IL 60174-1572
(630) 523-0504
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
038.014155
IL
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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