MEDICARE: CRAIG JADOWN L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	198.000720	IL

General Provider Information

NPI Number	:	1396054730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG JADOWN L.AC.

Provider Business Mailing Address
First Line	:	420 HUNTERS WAY
Second Line	:
City	:	FOX RIVER GROVE
State	:	IL
Zip	:	60021-1852
Country	:	US
Telephone Number	:	847-462-8022
Fax Number	:

Provider Business Practice Location Address
First Line	:	914 IL ROUTE 22
Second Line	:
City	:	FOX RIVER GROVE
State	:	IL
Zip	:	60021-1905
Country	:	US
Telephone Number	:	847-848-1298
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2010
Last Update Date	:	10/04/2010

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Directions to “ CRAIG JADOWN L.AC.” Practice Location

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