DR. Jack Dee Hollada, D.C.

NPI #1336148451 in Virginia, Illinois

Provider Information

NPI Number: 1336148451
Entity Type: Individual
Name: DR. Jack Dee Hollada, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jul 20, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 200 E BEARDSTOWN ST
City: Virginia
State: Illinois
ZIP Code: 62691-1304
Phone: (217) 452-7252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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