Individual provider · Type 1 NPI

Jill Balla Shaw, DC

Chiropractor · Antioch, IL

NPI number 1083734727 Active

Practice location

38377 N Drexel Blvd
Antioch, IL 60002-9778

Fax (847) 838-2623

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000X2301009331 (MI)
Chiropractor Primary 111N00000XNone listed

Chiropractor: 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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About NPI 1083734727

Jill Balla Shaw, DC's National Provider Identifier is 1083734727, issued on Mar 29, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Antioch, IL. The record was last updated on Jul 8, 2007.