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DICKERSON CHIROPRACTIC AND WELLNESS CENTER PC
NPI 1396944559
Chiropractor in East Peoria, IL

Active since July 17, 2007
100 N MAIN ST, SUITE 101, EAST PEORIA, IL 61611(309) 699-7900 Get Directions Write a Review

NPPES record last updated: August 6, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dickerson Chiropractic And Wellness Center Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DICKERSON CHIROPRACTIC AND WELLNESS CENTER PC (NPI 1396944559) is a healthcare organization registered as a chiropractor in East Peoria, Illinois and active in the NPI registry since July 2007. The organization lists Thomas K Dickerson, Owner, as its authorized official.

NPPES Registry Identity

NPI1396944559
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDICKERSON CHIROPRACTIC AND WELLNESS CENTER PC
Location Address100 N MAIN ST, SUITE 101East Peoria, IL 61611-2533
Mailing Address100 N Main St, Suite 101East Peoria, IL 61611-2533 · (309) 699-7900
Phone(309) 699-7900
Organization SubpartNo
Authorized OfficialThomas K DickersonOwner · (309) 699-7900
Enumeration DateJuly 17, 2007
Last NPPES UpdateAugust 6, 2007
✔ NPI 1396944559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
100 N MAIN ST, East Peoria, IL 61611
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dickerson Chiropractic And Wellness Center PC's NPI number?

The NPI number for Dickerson Chiropractic And Wellness Center PC is 1396944559. It was assigned to this organization in the NPPES registry on July 17, 2007.

Where is Dickerson Chiropractic And Wellness Center PC located?

Dickerson Chiropractic And Wellness Center PC is located at 100 N Main St Suite 101, East Peoria, IL 61611. The listed phone number is (309) 699-7900.

What is Dickerson Chiropractic And Wellness Center PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Dickerson Chiropractic And Wellness Center PC was last updated on August 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.