Jeff Wayne Dill is a Chiropractor in Pekin, Illinois. Jeff Wayne Dill practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeff Wayne Dill is 1104845932. The last update date is 2007-07-09.
Jeff Wayne Dill's current location address is 1340 Park Ave, Pekin, Illinois. You can contact this provider via phone number 3093539700 and fax number 3093539701. The mailing address for Jeff Wayne Dill is 1340 Park Ave, Pekin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeff Wayne Dill |
|---|---|
| Address | 1340 Park Ave, Pekin, Illinois |
| Phone Number | 3093539700 |
| Fax Number | 3093539701 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1104845932 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1340 Park Ave |
|---|---|
| City | Pekin |
| State | Illinois (IL) |
| Post Code | 615545082 |
| Phone Number | 3093539700 |
| Fax Number | 3093539701 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9021684 | IL | BLUE CROSS BLUE SHIELD ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeff Wayne Dill by the Centers for Medicare & Medicaid Services?
The Jeff Wayne Dill has been issued the NPI (National Provider Identifier) 1104845932, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jeff Wayne Dill's physical address?
The Jeff Wayne Dill is physically located at 1340 Park Ave, in the city of Pekin, IL, with the postal code 615545082.
What is the Jeff Wayne Dill's area of specialization and corresponding taxonomy classification?
The Jeff Wayne Dill's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104845932 to Jeff Wayne Dill?
The Centers for Medicare & Medicaid Services originally issued the 1104845932 to Jeff Wayne Dill on 2006-07-19.
When was the information pertaining to Jeff Wayne Dill most recently updated or revised?
The details related to Jeff Wayne Dill, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.