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Dr. Harvey P Jack, DC
Chiropractor in Moline, Illinois
NPI 1457448243

Harvey P Jack is a Chiropractor based in Moline, IL. Harvey P Jack practices in Moline, IL and has the professional credentials of DC. The NPI Number for Harvey P Jack is 1457448243 and holds a License No. (Illinois).

The current practice location address for Harvey P Jack is 1570 36 Ave Suite 4, Moline, IL and can be reached out via phone at 309-762-5225 and via fax at 309-764-7679. You can also correspond with Harvey P Jack through the mailing address at 1570 36 AVE SUITE 4, MOLINE, IL - 61265 (mailing address contact number: 309-762-5225).

Location: 1570 36 Ave Suite 4, Moline, IL, 61265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457448243
Provider Name
Harvey P Jack
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1570 36 Ave Suite 4, Moline, IL, 61265
Phone Number
309-762-5225
Fax Number
309-764-7679
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08132078 01 IL BLUE CROSS&BLUE SHEILD
institution
Provider Business Practice Location Address Details
Address
1570 36 Ave Suite 4
City
Moline
State
Illinois
Zip
61265
Phone Number
309-762-5225
Fax Number
309-764-7679
person
Provider Business Mailing Address Details
Address
1570 36 Ave Suite 4
City
Moline
State
Illinois
Zip
61265
Phone Number
309-762-5225
Fax Number
309-764-7679
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(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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