Individual
JERRY SCOTT HARMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2030 STEWARD RD, ROCHELLE, IL 61068-9510
(815) 562-6786
Mailing address
2030 STEWARD RD, ROCHELLE, IL 61068-9510
(815) 562-6786
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010263
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005232013
BCBS OF IL
IL
Enumeration date
04/04/2007
Last updated
02/12/2013
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