Individual
BENJAMIN MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4300 N BRANDYWINE DR, PEORIA, IL 61614-5550
(309) 338-3301
(309) 332-7770
Mailing address
118 N BROADWAY ST, LEWISTOWN, IL 61542-1202
(309) 338-3301
(309) 332-7770
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-011932
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038-011932
STATE LICENSE
IL
Enumeration date
06/07/2011
Last updated
11/10/2025
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