Organization
DICKERSON CHIROPRACTIC AND WELLNESS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS K DICKERSON DC, DICCP (OWNER)
(309) 699-7900
Entity
Organization
Contact information
Practice address
100 N MAIN ST, SUITE 101, EAST PEORIA, IL 61611-2533
(309) 699-7900
Mailing address
100 N MAIN ST, SUITE 101, EAST PEORIA, IL 61611-2533
(309) 699-7900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/17/2007
Last updated
08/06/2007
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