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Dr. Jonathan William Bullock, DC
Chiropractor in Mokena, Illinois
NPI 1114015815

Jonathan William Bullock is a Chiropractor based in Mokena, IL. Jonathan William Bullock practices in Mokena, IL and has the professional credentials of DC. The NPI Number for Jonathan William Bullock is 1114015815 and holds a License No. 038-009659 (Illinois).

The current practice location address for Jonathan William Bullock is 19600 La Grange Rd, Mokena, IL and can be reached out via phone at 708-478-3000. You can also correspond with Jonathan William Bullock through the mailing address at 19600 LA GRANGE RD, MOKENA, IL - 60448-9321 (mailing address contact number: 708-478-3000).

Location: 19600 La Grange Rd, Mokena, IL, 60448-9321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114015815
Provider Name
Jonathan William Bullock
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
19600 La Grange Rd, Mokena, IL, 60448-9321
Phone Number
708-478-3000
Fax Number
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02232796 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
19600 La Grange Rd
City
Mokena
State
Illinois
Zip
60448-9321
Phone Number
708-478-3000
Fax Number
person
Provider Business Mailing Address Details
Address
19600 La Grange Rd
City
Mokena
State
Illinois
Zip
60448-9321
Phone Number
708-478-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-009659 (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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