Leasure, Jordan

Leasure, Jordan is an sole proprietor health care provider with primary practice located at 112 Lake St , Libertyville IL 60048-1812. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Leasure, Jordan can be contacted via phone (847) 542-4476.

Contact Information

Primary practice address
112 Lake St Libertyville IL 60048-1812
Phone: (847) 542-4476
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38010764 Illinois

Profile Details

NPI number 1568563054
LBN Legal business name Leasure, Jordan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Mar 18th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers