Provider Demographics
NPI:1184899007
Name:STERCHI, JASON EDWARD (DC)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:EDWARD
Last Name:STERCHI
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 1:54 W COUNTRYSIDE PKWY
Mailing Address - Street 2:STE D
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-1959
Mailing Address - Country:US
Mailing Address - Phone:630-553-8393
Mailing Address - Fax:
Practice Address - Street 1:54 W COUNTRYSIDE PKWY
Practice Address - Street 2:STE D
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-1959
Practice Address - Country:US
Practice Address - Phone:630-553-8393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011167111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK51894OtherMEDICARE PTAN
IL0034740386OtherBCBS PROVIDER NUMBER