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NPI Code Detail

MEDICARE: DR. JILLKA VANSH D.C.

MEDICARE: DR. JILLKA VANSH D.C.
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
1111N00000XChiropractorIL

General Provider Information

NPI Number : 1740381987
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JILLKA VANSH D.C.
Provider Business Mailing Address
First Line : 3340 RONAN DR
Second Line :
City : LAKE IN THE HILLS
State : IL
Zip : 60156-6739
Country : US
Telephone Number : 847-630-5414
Fax Number : 847-520-0500
Provider Business Practice Location Address
First Line : 985 S BUFFALO GROVE RD
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-3702
Country : US
Telephone Number : 847-541-4878
Fax Number : 847-520-0500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 01/14/2008

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Directions to “ DR. JILLKA VANSH D.C.” Practice Location

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