Individual provider · Type 1 NPI

Jordan Wade Vickery, DC

Chiropractor · Highland, IL

NPI number 1700109923 Active

Practice location

12860 Troxler Ave
Highland, IL 62249-2898

Call (618) 654-3000 Map

Mailing address

1000 Zschokke St
Highland, IL 62249-1650

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X038.011632 (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 1700109923

Jordan Wade Vickery, DC's National Provider Identifier is 1700109923, issued on Mar 2, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Highland, IL. The record was last updated on Dec 14, 2015.