Provider Demographics
NPI:1053321349
Name:HAJDUK, JANE ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:ANN
Last Name:HAJDUK
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 1:131 E TOWNLINE RD
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1424
Mailing Address - Country:US
Mailing Address - Phone:847-680-9500
Mailing Address - Fax:847-680-7975
Practice Address - Street 1:131 E TOWNLINE RD
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1424
Practice Address - Country:US
Practice Address - Phone:847-680-9500
Practice Address - Fax:847-680-7975
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U90771Medicare UPIN
IL204232Medicare ID - Type Unspecified