Jack K Holley DC

NPI 1023013521 - Chiropractor - 111N00000X

NPI Details
NPI 1023013521
Gender Male
Enumeration Date 06/20/2005
Last Updated 09/04/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
654 W VETERANS PKWY
SUITE B
YORKVILLE IL, 60560-4567, US
Phone (630) 553-1876
Fax (630) 566-5180
Business Location
654 W VETERANS PKWY
SUITE B
YORKVILLE IL, 60560-4567, US
Phone (630) 553-1876
Fax (630) 566-5180
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038-006027
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According to our database, Dr. Jack K Holley DC NPI is 1023013521, taxonomy code is 111N00000X and license number is 038-006027, license state is located at Illinois. Jack K Holley DC physically located at 654 W Veterans Pkwy, Yorkville IL, 60560-4567. NPI Number Jack K Holley DC has the Individual type.

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1023013521 NPI number is provided on an as is basis without warranty of any kind. 1023013521 is maintained by the National Plan & Provider Enumeration System. The contents of Jack K Holley DC are for informational purposes only.