Individual
DR. JEREMIAH JAMES THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8305 N. ALLEN ROAD, SUITE 7, PEORIA, IL 61615-1815
(309) 692-2121
(309) 692-4747
Mailing address
8305 N. ALLEN ROAD, SUITE 7, PEORIA, IL 61615-1815
(309) 692-2121
(309) 692-4747
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009678
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7232024
BLUE CROSS/ BLUE SHIELD
IL
Enumeration date
12/05/2007
Last updated
04/22/2009
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