Provider Demographics
NPI:1861894875
Name:MLINARCIK, JILLIAN (DC)
Entity type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:
Last Name:MLINARCIK
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:PO BOX 2262
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60567-2262
Mailing Address - Country:US
Mailing Address - Phone:231-510-0595
Mailing Address - Fax:
Practice Address - Street 1:1891 BAY SCOTT CIR STE 115
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-1138
Practice Address - Country:US
Practice Address - Phone:630-364-2301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012695111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor