| NPI | 1831144286 |
|---|---|
| Former Name | JEANNE E. BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038003521) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IA A05270) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2014-03-18 |