Provider Demographics
NPI:1801289376
Name:SCHUMANN, JESSICA JOY (DC)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:JOY
Last Name:SCHUMANN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JESSICA
Other - Middle Name:JOY
Other - Last Name:HOFFMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:21000 S FRANKFORT SQUARE RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-9385
Mailing Address - Country:US
Mailing Address - Phone:815-464-0104
Mailing Address - Fax:815-464-0208
Practice Address - Street 1:21000 S FRANKFORT SQUARE RD
Practice Address - Street 2:UNIT B
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-9385
Practice Address - Country:US
Practice Address - Phone:815-464-0104
Practice Address - Fax:815-464-0208
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012728111N00000X
IA075963111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL038.012728OtherSTATE LICENSE
IA075963OtherSTATE LICENSE