Organization
J COX ENTERPRISES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEDIDIAH MATTHEW COX DC (CEO)
(618) 283-2230
Entity
Organization
Contact information
Practice address
825 NEW YORK DR STE 1, VANDALIA, IL 62471-1044
(618) 283-2230
(618) 283-1868
Mailing address
825 NEW YORK DR STE 1, VANDALIA, IL 62471-1044
(618) 283-2230
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010423
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00332012
BCBS
IL
05
—
038010423
—
IL
01
—
793482
HEALTHLINK
IL
Enumeration date
03/12/2007
Last updated
06/03/2008
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