Individual
DR. JEREMY J SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1525 LEXINGTON AVE, LAWRENCEVILLE, IL 62439-2260
(618) 943-4949
(618) 943-5858
Mailing address
1525 LEXINGTON AVE, LAWRENCEVILLE, IL 62439-2260
(618) 943-4949
(618) 943-5858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010129
IL
111N00000X
Chiropractor
08003057A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05132005
BC/BS PPO
IL
01
—
660547
HEALTHLINK PPO
IL
Enumeration date
06/06/2006
Last updated
03/04/2019
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