Individual
DR. JEFF WAYNE DILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1340 PARK AVE, PEKIN, IL 61554-5082
(309) 353-9700
(309) 353-9701
Mailing address
1340 PARK AVE, PEKIN, IL 61554-5082
(309) 353-9700
(309) 353-9701
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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