Individual provider · Type 1 NPI
Jason Ambrose Thompson, DC
Chiropractor · Grayslake, IL
NPI number
1366741902
Active
Practice location
15 Commerce Dr Ste 108
Grayslake, IL 60030-7807
Fax (888) 481-4758
Mailing address
425 N Liberty St
Elgin, IL 60120-4268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038.011885 (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 1366741902
Jason Ambrose Thompson, DC's National Provider Identifier is 1366741902, issued on Mar 22, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Grayslake, IL. The record was last updated on Oct 11, 2016.