SearchIllinois103TC0700X

Jie Jiao, PH.D

NPI 1053720284 · on the registry since 2014 · sole proprietor

Practice

Address
5901 N Prospect Rd Ste 202
Peoria, IL 61614
Phone
(888) 428-7890
Fax
(877) 428-7890
Organisation at this address
John P Gysin Od
Matt Domico Lcsw Llc
Camelot Care Centers, Inc
Three Paths Massage Therapy
Natural Balance Wellness Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Additional practice sites

  • 2205 State St, Pekin, IL

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois