BENJAMIN CHARLES DEIG (NPI# 1134778418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134778418 |
| Entity Type | Individual |
| Full Name | BENJAMIN CHARLES DEIG |
| Credential | DC |
| Practice Address |
7800 N Sommer St Ste 203 Peoria IL 61615-1990 |
| Mailing Address |
316 E Edgewood St Morton IL 61550-2534 |
| Practice Telephone | 3096919767 |
| Mailing Telephone | 3093695474 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.013464 | IL | Chiropractic Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | IL | Student, Health Care |
| Street Address |
7800 N SOMMER ST STE 203 |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-1990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764517 | Peoria Spine and Sport Ltd. | Chiropractor | 7800 N Sommer St Ste 203, Peoria, IL 61615-1990 | 2019-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094557 | Chiro One Wellness Center of Peoria LLC | Chiropractor | 4125 N Sheridan Rd, Peoria, IL 61614-7167 | 2019-10-10 |
| 1851951610 | Wyatt Richard Kissling | Chiropractor | 26135 N 85th Dr, Peoria, AZ 85383-3608 | 2019-06-14 |
| 1336707447 | Pyle Family Chiropractic Pllc | Chiropractor | 10200 W Happy Valley Pkwy Ste 135, Peoria, AZ 85383-2879 | 2019-06-04 |
| 1356849772 | Brandie Long | Chiropractor | 4125 N Sheridan Rd Ste 14, Peoria, IL 61614-7181 | 2018-01-31 |
| 1457865933 | Hanna Ariella Singer | Chiropractor | 1401 W Covington Ct Apt 17, Peoria, IL 61614-5859 | 2017-11-20 |
| 1548798333 | Bryan Scott Rand | Chiropractor | 6750 W Thunderbird Rd Ste B-101, Peoria, AZ 85381-5026 | 2017-05-24 |
| 1568903433 | Timothy Ballitch | Chiropractor | 8765 W Kelton Ln Ste B4, Peoria, AZ 85382-5010 | 2017-03-13 |
| 1215398367 | Alp Wellness Inc | Chiropractor | 4700 N University St Spc 65, Peoria, IL 61614-5849 | 2016-03-17 |
| 1275912545 | Lindsey Lea Rafool | Chiropractor | 719 W Lake Ave, Peoria, IL 61614-5941 | 2015-05-20 |
| 1780080879 | Ryno Family Chiropractic, Pllc | Chiropractor | 10204 W Happy Valley Rd Ste 135, Peoria, AZ 85383-2880 | 2014-11-17 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on BENJAMIN CHARLES DEIG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.