Provider Demographics
NPI:1023365202
Name:DURNAS, JASON (DC)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:DURNAS
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 1:5S501 CAMPBELL DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1949
Mailing Address - Country:US
Mailing Address - Phone:815-505-7114
Mailing Address - Fax:
Practice Address - Street 1:1740 QUINCY AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-3946
Practice Address - Country:US
Practice Address - Phone:630-699-9858
Practice Address - Fax:630-305-0189
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012238111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor