Individual provider · Type 1 NPI
Jacob Michael Hertz, DC
Chiropractor · Peoria, IL
NPI number
1083841837
Active
Practice location
1200 W Loucks Ave
Peoria, IL 61604-2604
Fax (309) 682-6625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038010924 (IL) |
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.
4 other providers at this address
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About NPI 1083841837
Jacob Michael Hertz, DC's National Provider Identifier is 1083841837, issued on Jun 19, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Peoria, IL. The record was last updated on Jun 19, 2009.