Individual
DR. JEFFREY A WINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
315 CHATHAM RD, SUITE 100, SPRINGFIELD, IL 62704-1497
(217) 698-5400
(217) 698-2800
Mailing address
315 CHATHAM RD, SUITE 100, SPRINGFIELD, IL 62704-1497
(217) 698-5400
(217) 698-2800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08432010
BLUE CROSS BLUE SHIELD
IL
01
—
678643
HEALTHLINK
IL
Enumeration date
02/21/2007
Last updated
07/09/2007
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