Individual
JEFFREY C MELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
314 S NEIL ST, CHAMPAIGN, IL 61820-4979
(217) 355-7321
Mailing address
314 S NEIL ST, CHAMPAIGN, IL 61820-4979
(217) 355-7321
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010174
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038-010174
—
IL
Enumeration date
08/08/2006
Last updated
05/20/2013
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