Provider Demographics
NPI:1922345693
Name:DILLEY, JESSICA LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:LEE
Last Name:DILLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JESSICA
Other - Middle Name:LEE
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2775 S MORELAND BLVD
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-2397
Mailing Address - Country:US
Mailing Address - Phone:216-751-8988
Mailing Address - Fax:216-751-8990
Practice Address - Street 1:2775 S MORELAND BLVD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-2397
Practice Address - Country:US
Practice Address - Phone:219-751-8988
Practice Address - Fax:216-751-8990
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4354111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor