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Mr. Ryder Michael Church, DC
Chiropractor in Peoria, Illinois
NPI 1104898659

Ryder Michael Church is a Chiropractor based in Peoria, IL. Ryder Michael Church practices in Peoria, IL and has the professional credentials of DC. The NPI Number for Ryder Michael Church is 1104898659 and holds a License No. 038007166 (Illinois).

The current practice location address for Ryder Michael Church is 901 W Glen Ave, Peoria, IL and can be reached out via phone at 309-693-1212 and via fax at 309-693-2147.

Location: 901 W Glen Ave, Peoria, IL, 61614-4836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104898659
Provider Name
Ryder Michael Church
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
901 W Glen Ave, Peoria, IL, 61614-4836
Phone Number
309-693-1212
Fax Number
309-693-2147
Provider Enumeration Date
02/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
038007166 05 IL
institution
Provider Business Practice Location Address Details
Address
901 W Glen Ave
City
Peoria
State
Illinois
Zip
61614-4836
Phone Number
309-693-1212
Fax Number
309-693-2147
person
Provider Business Mailing Address Details
Address
901 W Glen Ave
City
Peoria
State
Illinois
Zip
61614-4836
Phone Number
309-693-1212
Fax Number
309-693-2147
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038007166 (Illinois)
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.
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