Individual provider · Type 1 NPI
Jessica Bruin, DC
Chiropractor · Bloomington, IL
NPI number
1578865499
Active
Practice location
2710 E Lincoln St
Bloomington, IL 61704
Fax (309) 662-8197
Other practice locations
- 2406 E Washington St, Bloomington, IL 61704-4410 · (309) 662-8418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 70011940 (NY) |
| Chiropractor Primary | 111N00000X | 038011818 (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.
Another provider at this address
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About NPI 1578865499
Jessica Bruin, DC's National Provider Identifier is 1578865499, issued on Nov 29, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bloomington, IL. The record was last updated on Aug 27, 2019.