Healthcare Provider Details

I. General information

NPI: 1760824676
Provider Name (Legal Business Name): JESSICA RACHAEL HEHMEYER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2013
Last Update Date: 07/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4555 N LINCOLN AVE
CHICAGO IL
60625-2102
US

IV. Provider business mailing address

1324 N DEARBORN ST
CHICAGO IL
60610-2006
US

V. Phone/Fax

Practice location:
  • Phone: 773-328-8153
  • Fax: 773-273-6736
Mailing address:
  • Phone: 773-383-4175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038012430
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number038012430
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: