| Benjamin Charles Deig, DC | |
|
7800 N Sommer St Ste 203, Peoria, IL 61615-1990 | |
| (309) 691-9767 | |
| Not Available |
| Full Name | Benjamin Charles Deig |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 7 Years |
| Location | 7800 N Sommer St Ste 203, Peoria, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134778418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.013464 (Illinois) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peoria Spine And Sport Ltd | 9234562794 | 2 |
| Provider Name | Peoria Spine and Sport Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134764517 PECOS PAC ID: 9234562794 Enrollment ID: O20191214000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Charles Deig, DC 316 E Edgewood St, Morton, IL 61550-2534 Ph: (309) 369-5474 | Benjamin Charles Deig, DC 7800 N Sommer St Ste 203, Peoria, IL 61615-1990 Ph: (309) 691-9767 |
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