Provider Demographics
NPI:1821487190
Name:JAGLA, CAROLINE (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:JAGLA
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 1:1885 HICKS RD
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-1215
Mailing Address - Country:US
Mailing Address - Phone:847-202-7860
Mailing Address - Fax:847-202-7864
Practice Address - Street 1:1885 HICKS RD
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-1215
Practice Address - Country:US
Practice Address - Phone:847-202-7860
Practice Address - Fax:847-202-7864
Is Sole Proprietor?:No
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012757111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor