Individual
DR. CODY DEREK NEEDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
205 N GRAND AVE W, SPRINGFIELD, IL 62702-2550
(217) 525-2035
(217) 525-2303
Mailing address
205 N GRAND AVE W, SPRINGFIELD, IL 62702-2550
(217) 525-2035
(217) 525-2303
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038013185
IL
Other
Enumeration date
01/23/2018
Last updated
01/24/2018
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