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Individual

DR. JEFFRY JAMES ENSIGN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
813 N MONROE ST, ABINGDON, IL 61410-1060
(309) 462-2622
(309) 462-2622
Mailing address
813 N MONROE ST, ABINGDON, IL 61410-1060
(309) 462-2622
(309) 462-2622

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04823420
BCBS
IL
Enumeration date
02/15/2007
Last updated
07/08/2007
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