Provider Demographics
NPI:1699888347
Name:HOWE, JILL E (DC)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:E
Last Name:HOWE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7105 VIRGINIA ROAD
Mailing Address - Street 2:SUITE 24
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014
Mailing Address - Country:US
Mailing Address - Phone:815-477-8844
Mailing Address - Fax:814-477-2766
Practice Address - Street 1:7105 VIRGINIA ROAD
Practice Address - Street 2:SUITE 24
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014
Practice Address - Country:US
Practice Address - Phone:815-477-8844
Practice Address - Fax:814-477-2766
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2210831OtherBCBS
IL707360Medicare ID - Type UnspecifiedCHIROPRACTIC
IL2210831OtherBCBS