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Mark E Jacobs, DC
Chiropractor in Genoa, Illinois
NPI 1003834326

Mark E Jacobs is a Chiropractor based in Genoa, IL. Mark E Jacobs practices in Genoa, IL and has the professional credentials of DC. The NPI Number for Mark E Jacobs is 1003834326 and holds a License No. 038008275 (Illinois).

The current practice location address for Mark E Jacobs is 405 W Main St, Genoa, IL and can be reached out via phone at 815-784-4455 and via fax at 815-784-4454.

Location: 405 W Main St, Genoa, IL, 60135-1164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003834326
Provider Name
Mark E Jacobs
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
405 W Main St, Genoa, IL, 60135-1164
Phone Number
815-784-4455
Fax Number
815-784-4454
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
350045727 01 IL TRICARE MEDICARE
01921720 01 IL BLUE CROSS/BLUE SHIELD IL
institution
Provider Business Practice Location Address Details
Address
405 W Main St
City
Genoa
State
Illinois
Zip
60135-1164
Phone Number
815-784-4455
Fax Number
815-784-4454
person
Provider Business Mailing Address Details
Address
405 W Main St
City
Genoa
State
Illinois
Zip
60135-1164
Phone Number
815-784-4455
Fax Number
815-784-4454
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038008275 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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