Individual
JESSICA DOMINIQUE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2417 183RD ST, HOMEWOOD, IL 60430-3134
(708) 798-5556
Mailing address
1821 QUAIL CT, FLOSSMOOR, IL 60422-2048
(170) 857-4926
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013609
IL
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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