Jeff Wayne Dill, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007958 Issued in IL

Practice address

1340 Park Ave
Pekin, IL 61554-5082

Phone

(309) 353-9700

Fax

(309) 353-9701

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heartland Chiropractic Center PLLC

  • Chiropractor
  • Pekin, IL
  • NPI 1730997941
  NPD
• Lutz Physical Medicine Corp

  • Chiropractor
  • Peoria, IL
  • NPI 1578993606
  NPD (past)
• Martis Chiropractic

  • Orthopedic Chiropractor
  • Pekin, IL
  • NPI 1467615369
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1104845932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 PARK AVE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615545082",
            "telephone_number": "309-353-9700",
            "fax_number": "309-353-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 PARK AVE",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615545082",
            "telephone_number": "309-353-9700",
            "fax_number": "309-353-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILL",
        "first_name": "JEFF",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "364195666",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "038007958",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038007958",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "09021684",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald Depew, DC
• Lori L Dewitt, RSA DSP
• Dialysis Centers of America - Illinois, Inc.
• Stephen E Dickey, DDS
• Lindsay Diekhoff, SLP
• Lindsey Dixon
• Kathryn Dorsey, LCPC
• Douglas C Harrington MD SC
• David John Draksler, CRNA
• Shaundra R Draper, M.S. CCC-SLP

• Chiropractor in Pekin, IL
• Providers in Pekin, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.