Provider Demographics
NPI:1346842028
Name:JACH FAMILY WELLNESS CENTER PLLC
Entity Type:Organization
Organization Name:JACH FAMILY WELLNESS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:JACH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-355-7736
Mailing Address - Street 1:3235 VOLLMER RD STE 130
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-2040
Mailing Address - Country:US
Mailing Address - Phone:708-957-1400
Mailing Address - Fax:708-957-2800
Practice Address - Street 1:3235 VOLLMER RD STE 130
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-2040
Practice Address - Country:US
Practice Address - Phone:708-957-7400
Practice Address - Fax:708-957-2800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty