Jesus D Fernandez
Chiropractor in West Chicago, IL. Individual provider (NPI-1).
NPI number1194503003
StatusActive
Last updated in NPPESApr 7, 2024
Details
- NPI
- 1194503003
- Entity type
- Individual (NPI-1)
- Name
- Jesus D Fernandez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2023
- Certification date
- Apr 7, 2024
- Last updated
- Apr 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038014056 | IL | Yes |
| 111NR0400X | Chiropractor, Rehabilitation | 038014056 | IL |
Practice location
245 W Roosevelt Rd Ste 126West Chicago, IL 60185-4834
Phone 630-660-6574
Mailing address
245 W Roosevelt Rd Ste 126West Chicago, IL 60185-4834
Phone 630-660-6574
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All 21 Chiropractor providers in West Chicago · All 325 providers in West Chicago
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