Individual
DR. JEFFERY RAY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
103 S JOHN ST, DWIGHT, IL 60420-1413
(815) 584-3808
Mailing address
103 S JOHN ST, DWIGHT, IL 60420-1413
(815) 584-3808
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
07/05/2006
Last updated
01/31/2008
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