DR. JACK DEE HOLLADA D.C.
NPI 1336148451
Chiropractor in Virginia, IL

Q: What is Jack Hollada's NPI number?

The NPI number for Jack Hollada is 1336148451. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Q: What is Jack Hollada's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Hollada was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 20, 2005

200 E BEARDSTOWN ST, VIRGINIA, IL 62691(217) 452-7252 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jack Dee Hollada D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK DEE HOLLADA D.C. (NPI 1336148451) is an individual chiropractor in Virginia, Illinois, licensed in Illinois (038-004567) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1336148451

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. JACK DEE HOLLADACredential: D.C.

Location Address200 E BEARDSTOWN STVirginia, IL 62691-1304

Mailing Address200 E Beardstown StVirginia, IL 62691-1304 · (217) 452-7252

Phone(217) 452-7252

Sole ProprietorYes

Enumeration DateJuly 20, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1336148451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in IL · 038-004567✔ Licensed in FL · CH4004

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

200 E BEARDSTOWN ST, Virginia, IL 62691

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Other Identifiers 2

Medicare ID-Type Unspecified688960

Medicare UPINT37864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Hollada's NPI number?

The NPI number for Jack Hollada is 1336148451. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Jack Hollada located?

Jack Hollada practices at 200 E Beardstown St, Virginia, IL 62691. The listed phone number is (217) 452-7252.

What is Jack Hollada's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jack Hollada was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.