Dickerson Chiropractic and Wellness Center PC

NPI #1396944559 in East Peoria, Illinois

Provider Information

NPI Number: 1396944559
Entity Type: Organization
Organization Name: Dickerson Chiropractic and Wellness Center PC
Primary Specialty: Chiropractor
Enumeration Date: Jul 17, 2007
Last Updated: Aug 6, 2007

Practice Location

Address: 100 N MAIN ST
Address 2: SUITE 101
City: East Peoria
State: Illinois
ZIP Code: 61611-2533
Phone: (309) 699-7900

Authorized Official

Name: DR. THOMAS K DICKERSON, DC, DICCP
Title: OWNER
Phone: (309) 699-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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