Healthcare Provider Details

I. General information

NPI: 1811912918
Provider Name (Legal Business Name): JENNIFER CHRISTINE DANIEL-PRICE D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1852 COPPERFIELD DR
MORTON IL
61550-3169
US

IV. Provider business mailing address

1852 COPPERFIELD DR
MORTON IL
61550-3169
US

V. Phone/Fax

Practice location:
  • Phone: 309-338-4299
  • Fax:
Mailing address:
  • Phone: 309-338-4299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038-009708
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: