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Jerald O Dishong, DC
Chiropractor in Olney, Illinois
NPI 1255357604

Jerald O Dishong is a Chiropractor based in Olney, IL. Jerald O Dishong practices in Olney, IL and has the professional credentials of DC. The NPI Number for Jerald O Dishong is 1255357604 and holds a License No. 11393326 (Illinois).

The current practice location address for Jerald O Dishong is 600 W Main St, Olney, IL and can be reached out via phone at 618-392-2223 and via fax at 618-392-3261.

Location: 600 W Main St, Olney, IL, 62450-1542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255357604
Provider Name
Jerald O Dishong
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
600 W Main St, Olney, IL, 62450-1542
Phone Number
618-392-2223
Fax Number
618-392-3261
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08020396 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
600 W Main St
City
Olney
State
Illinois
Zip
62450-1542
Phone Number
618-392-2223
Fax Number
618-392-3261
person
Provider Business Mailing Address Details
Address
600 W Main St
City
Olney
State
Illinois
Zip
62450-1542
Phone Number
618-392-2223
Fax Number
618-392-3261
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
11393326 (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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