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Jason Cleo Fowler, DC
Chiropractor in Woodridge, Illinois
NPI 1992995070

Jason Cleo Fowler is a Chiropractor based in Oak Brook, IL. Jason Cleo Fowler practices in Woodridge, IL and has the professional credentials of DC. The NPI Number for Jason Cleo Fowler is 1992995070 and holds a License No. 038-010938 (Illinois).

The current practice location address for Jason Cleo Fowler is 7440 Woodward Ave, Woodridge, IL and can be reached out via phone at 630-324-4960 and via fax at 630-324-4965.

Location: 7440 Woodward Ave, Woodridge, IL, 60523-1234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992995070
Provider Name
Jason Cleo Fowler
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
7440 Woodward Ave, Woodridge, IL, 60523-1234
Phone Number
630-324-4960
Fax Number
630-324-4965
Provider Enumeration Date
07/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000570383 01 MO ANTHEM BCBS
P00655474 01 MO RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
7440 Woodward Ave
City
Woodridge
State
Illinois
Zip
60517-2657
Phone Number
630-324-4960
Fax Number
630-324-4965
person
Provider Business Mailing Address Details
Address
7440 Woodward Ave
City
Woodridge
State
Illinois
Zip
60517-2657
Phone Number
630-324-4960
Fax Number
630-324-4965
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-010938 (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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