Individual provider · Type 1 NPI

Jonathan William Bullock, DC

Chiropractor · Mokena, IL

NPI number 1114015815 Active

Practice location

19600 La Grange Rd
Mokena, IL 60448-9321

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X038-009659 (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.

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About NPI 1114015815

Jonathan William Bullock, DC's National Provider Identifier is 1114015815, issued on Oct 10, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mokena, IL. The record was last updated on Nov 13, 2024.