Individual
JENS WILLIAM SODERHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2011 ROCK ST, PERU, IL 61354-1385
(815) 224-8090
Mailing address
2011 ROCK ST, PERU, IL 61354-1385
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038013949
IL
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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