DR. Jordan Wade Vickery, D.C.

NPI #1700109923 in Highland, Illinois

Provider Information

NPI Number: 1700109923
Entity Type: Individual
Name: DR. Jordan Wade Vickery, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Mar 2, 2010
Last Updated: Dec 14, 2015

Practice Location

Address: 12860 TROXLER AVE
City: Highland
State: Illinois
ZIP Code: 62249-2898
Phone: (618) 654-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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