National Provider Identifier

Jennifer Dianne Illes, D.C., D.AP.

Jennifer Dianne Illes, D.C., D.AP. is listed in the NPPES registry with a primary specialty of Chiropractor in Buffalo, NY and a listed phone number of (716) 923-4375.

NPI 1134436702Buffalo, NYChiropractor

Profile Overview

NPI
1134436702
Provider Type
Individual
Primary Specialty
Chiropractor
Enumeration Date
September 02, 2010
Last Updated
November 03, 2015

Practice Location

  • 2900 Main St
  • Buffalo, NY 14214-1718

Phone: (716) 923-4375

Specialties

  • Chiropractor (111N00000X)
Full Record
NPI
1134436702
Entity Type
Individual
Last Name
Illes
First Name
Jennifer
Middle Name
Dianne
Name Prefix
Dr.
Credential
D.C., D.AP.
Mailing Street Address
2900 Main St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-1718
Mailing Country
US
Practice Street Address
2900 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-1718
Practice Country
US
Practice Phone
(716) 923-4375
Enumeration Date
September 02, 2010
Last Updated
November 03, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Chiropractor (111N00000X)