Individual provider · Type 1 NPI

Clint A. Jackson, DC

Chiropractor · Champaign, IL

NPI number 1174569834 Active

Practice location

2912 Crossing Ct
Champaign, IL 61822-6163

Call (217) 351-7746 Map

Fax (866) 204-2774

Mailing address

2912 Crossing Court
Champaign, IL 61822-6163

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X038010337 (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 1174569834

Clint A. Jackson, DC's National Provider Identifier is 1174569834, issued on Jun 21, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Champaign, IL. The record was last updated on Jul 30, 2021.