Individual
DR. JEFFERY JAMES WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1128 MONROE ST, GALESBURG, IL 61401-2542
(309) 342-9147
Mailing address
1128 MONROE ST, GALESBURG, IL 61401-2542
(309) 342-9147
(309) 343-0191
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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