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Individual
DR. JEFFERY JAMES WILSON
Active
Individual
DR. JEFFERY JAMES WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009330
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04832006
BCBS
—
01
—
P0005879S
RR MEDICARE PALMETTO
—
Enumeration date
09/07/2006
Last updated
12/16/2025
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