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Benjamin Miles, DC
Chiropractor in Peoria, Illinois
NPI 1609160654

Benjamin Miles is a Chiropractor based in Peoria, IL. Benjamin Miles practices in Peoria, IL and has the professional credentials of DC. The NPI Number for Benjamin Miles is 1609160654 and holds a License No. 038-011932 (Illinois).

The current practice location address for Benjamin Miles is 5401 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-692-0123 and via fax at 309-692-0184.

Location: 5401 N Knoxville Ave, Peoria, IL, 61614-5098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609160654
Provider Name
Benjamin Miles
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
5401 N Knoxville Ave, Peoria, IL, 61614-5098
Phone Number
309-692-0123
Fax Number
309-692-0184
Provider Enumeration Date
06/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
038-011932 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-692-0123
Fax Number
309-692-0184
person
Provider Business Mailing Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-692-0123
Fax Number
309-692-0184
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-011932 (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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