Provider Demographics
NPI:1740394659
Name:KAWAMATA, JUMPEI (DC)
Entity Type:Individual
Prefix:DR
First Name:JUMPEI
Middle Name:
Last Name:KAWAMATA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 S ARLINGTON HEIGHTS RD STE 101
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4100
Mailing Address - Country:US
Mailing Address - Phone:847-956-3250
Mailing Address - Fax:847-952-0606
Practice Address - Street 1:2010 S ARLINGTON HEIGHTS RD STE 101
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4100
Practice Address - Country:US
Practice Address - Phone:847-956-3250
Practice Address - Fax:847-952-0606
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038009829111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor