Healthcare Provider Details

I. General information

NPI: 1245664549
Provider Name (Legal Business Name): JEFFREY ALLEN NEUMANN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24510 W LOCKPORT ST STE 102
PLAINFIELD IL
60544-2312
US

IV. Provider business mailing address

24510 W LOCKPORT ST STE 102
PLAINFIELD IL
60544-2312
US

V. Phone/Fax

Practice location:
  • Phone: 815-577-3377
  • Fax: 815-824-4337
Mailing address:
  • Phone: 815-577-3377
  • Fax: 815-824-4337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038012498
License Number StateIL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: