Healthcare Provider Details

I. General information

NPI: 1437461035
Provider Name (Legal Business Name): JRM CHIROPRACTIC SERVICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2010
Last Update Date: 07/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5031 N LINCOLN AVE
CHICAGO IL
60625-2611
US

IV. Provider business mailing address

5031 N LINCOLN AVE
CHICAGO IL
60625-2611
US

V. Phone/Fax

Practice location:
  • Phone: 847-571-2605
  • Fax:
Mailing address:
  • Phone: 847-571-2605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038010983
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070017359
License Number StateIL

VIII. Authorized Official

Name: DR. JOSEPH R MEETING
Title or Position: PRESIDENT
Credential: D.C.
Phone: 847-571-2605