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Dr. Jeffrey Michael Moore, DC
Chiropractor in Crystal Lake, Illinois
NPI 1538273909

Jeffrey Michael Moore is a Chiropractor based in Crystal Lake, IL. Jeffrey Michael Moore practices in Crystal Lake, IL and has the professional credentials of DC. The NPI Number for Jeffrey Michael Moore is 1538273909 and holds a License No. 038-004398 (Illinois).

The current practice location address for Jeffrey Michael Moore is 333 Commerce Dr Ste 175, Crystal Lake, IL and can be reached out via phone at 815-245-4624.

Location: 333 Commerce Dr Ste 175, Crystal Lake, IL, 60014-3596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538273909
Provider Name
Jeffrey Michael Moore
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
333 Commerce Dr Ste 175, Crystal Lake, IL, 60014-3596
Phone Number
815-245-4624
Fax Number
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
038-004398 01 IL LISCENSE TO PRACTICE CHIR
05632146 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
333 Commerce Dr Ste 175
City
Crystal Lake
State
Illinois
Zip
60014-3596
Phone Number
815-245-4624
Fax Number
person
Provider Business Mailing Address Details
Address
333 Commerce Dr Ste 175
City
Crystal Lake
State
Illinois
Zip
60014-3596
Phone Number
815-245-4624
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-004398 (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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