Most Relevant Information
Provider Data
| NPI Number: | 1003076464 |
| Provider Name: | JAMIE DEVON STEPHENS D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 038011188 |
Most Important Dates
| Enumeration Date: | 06/10/2008 |
| Last Updated: | 02/18/2022 |
Provider Practice Location
801 BROADWAY AVE
MATTOON
IL
619384211
Practice Location Phone/Fax
| Phone: | 2172342800 |
| Fax: |
Provider Mailing Location
801 BROADWAY AVE
MATTOON
IL
619384211
Provider Mailing Phone/Fax
| Phone: | 2172342800 |
| Fax: |