| Dr Harvey P Jack, DC | |
|
1570 36 Ave Suite 4, Moline, IL 61265 | |
| (309) 762-5225 | |
| (309) 764-7679 |
| Full Name | Dr Harvey P Jack |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1570 36 Ave Suite 4, Moline, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457448243 | NPI | - | NPPES |
| 08132078 | Other | IL | BLUE CROSS&BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Harvey P Jack, DC 1570 36 Ave Suite 4, Moline, IL 61265 Ph: (309) 762-5225 | Dr Harvey P Jack, DC 1570 36 Ave Suite 4, Moline, IL 61265 Ph: (309) 762-5225 |
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