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Organization
SEQUOIA CHIROPRACTIC INC
Active
Organization
SEQUOIA CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH J. THOMPSON DC (OWNER)
(309) 692-2121
Entity
Organization
Contact information
Practice address
8305 N. ALLEN ROAD, SUITE 7, PEORIA, IL 61615-1815
(309) 692-2121
(309) 692-4747
Mailing address
8305 N. ALLEN ROAD, SUITE 7, PEORIA, IL 61615-1815
(309) 692-2121
(309) 692-4747
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009678
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7232024
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/28/2006
Last updated
04/22/2009
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