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DR. HARVEY P JACK D.C.
NPI 1457448243
Chiropractor in Moline, IL

Active since October 05, 2006
1570 36 AVE SUITE 4, MOLINE, IL 61265(309) 762-5225(309) 764-7679 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Harvey P Jack D.c. NPPES

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

DR. HARVEY P JACK D.C. (NPI 1457448243) is an individual chiropractor in Moline, Illinois and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1457448243
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. HARVEY P JACKCredential: D.C.
Location Address1570 36 AVE SUITE 4Moline, IL 61265
Mailing Address1570 36 Ave Suite 4Moline, IL 61265 · (309) 762-5225 · Fax (309) 764-7679
Phone(309) 762-5225
Fax(309) 764-7679
Sole ProprietorYes
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1457448243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1570 36 AVE SUITE 4, Moline, IL 61265
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Other Identifiers 3

Other08132078IL · Blue Cross&blue Sheild
Medicare ID-Type Unspecified211592IL
Medicare UPINV04863IL

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 Harvey Jack's NPI number?

The NPI number for Harvey Jack is 1457448243. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Harvey Jack located?

Harvey Jack practices at 1570 36 Ave Suite 4, Moline, IL 61265. The listed phone number is (309) 762-5225.

What is Harvey Jack'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 Harvey Jack 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.