Organization
JACKSON CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINT JACKSON D.C. (PRESIDENT)
(217) 351-7746
Entity
Organization
Contact information
Practice address
2912 CROSSING COURT, CHAMPAIGN, IL 61822-6163
(217) 351-7746
(866) 204-2774
Mailing address
2912 CROSSING COURT, CHAMPAIGN, IL 61822-6163
(217) 351-7746
(662) 042-7748
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010337
IL
Other
Enumeration date
03/07/2007
Last updated
07/30/2021
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