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Organization
PEORIA SPINE AND SPORT LTD.
Active
Organization
PEORIA SPINE AND SPORT LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACLYN JEAN DEIG DC (OFFICE MANAGER)
(805) 266-9619
Entity
Organization
Contact information
Practice address
8305 N ALLEN RD STE 7, PEORIA, IL 61615-1816
(309) 621-1410
(309) 315-1220
Mailing address
316 E EDGEWOOD ST, MORTON, IL 61550-2534
(309) 369-5474
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/09/2019
Last updated
08/02/2025
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