Individual provider · Type 1 NPI
Jenna Marie Boazzo Glenn, DC
Chiropractor · Oswego, IL
NPI number
1356672190
Active
Practice location
39A Stonehill Rd
Oswego, IL 60543-9449
Mailing address
276 Hampton Rd
Sugar Grove, IL 60554-9424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038011612 (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 1356672190
Jenna Marie Boazzo Glenn, DC's National Provider Identifier is 1356672190, issued on Jan 19, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Oswego, IL. The record was last updated on Jan 8, 2013.