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Dr. Jeffrey Lee Dickhut, DC
Chiropractor in Normal, Illinois
NPI 1235325200

Jeffrey Lee Dickhut is a Chiropractor based in Normal, IL. Jeffrey Lee Dickhut practices in Normal, IL and has the professional credentials of DC. The NPI Number for Jeffrey Lee Dickhut is 1235325200 and holds a License No. 038-009648 (Illinois).

The current practice location address for Jeffrey Lee Dickhut is 1603 Visa Dr, Normal, IL and can be reached out via phone at 309-268-9000 and via fax at 309-268-9003.

Location: 1603 Visa Dr, Normal, IL, 61761-2151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235325200
Provider Name
Jeffrey Lee Dickhut
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1603 Visa Dr, Normal, IL, 61761-2151
Phone Number
309-268-9000
Fax Number
309-268-9003
Provider Enumeration Date
09/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05732057 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1603 Visa Dr
City
Normal
State
Illinois
Zip
61761-2151
Phone Number
309-268-9000
Fax Number
309-268-9003
person
Provider Business Mailing Address Details
Address
1603 Visa Dr
City
Normal
State
Illinois
Zip
61761-2151
Phone Number
309-268-9000
Fax Number
309-268-9003
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-009648 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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