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Individual
DR. JEFF WAYNE DILL
Active
Individual
DR. JEFF WAYNE DILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007958
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038007958
LICENSE NUMBER
IL
05
—
038007958
—
IL
01
—
09021684
BLUE CROSS BLUE SHIELD ID
IL
01
—
364195666
TAX ID
IL
Enumeration date
07/19/2006
Last updated
10/29/2024
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