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Dr. Peter D Crocker, DC
Chiropractor in Port Byron, Illinois
NPI 1437169851

Peter D Crocker is a Chiropractor based in Port Byron, IL. Peter D Crocker practices in Port Byron, IL and has the professional credentials of DC. The NPI Number for Peter D Crocker is 1437169851 and holds a License No. 5854 (Illinois).

The current practice location address for Peter D Crocker is 106 N High St, Port Byron, IL and can be reached out via phone at 309-848-9017 and via fax at 888-830-9748.

Location: 106 N High St, Port Byron, IL, 61275-0097
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437169851
Provider Name
Peter D Crocker
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
106 N High St, Port Byron, IL, 61275-0097
Phone Number
309-848-9017
Fax Number
888-830-9748
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2194521 01 AZ FIRST HEALTH
2050841 01 AZ UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
106 N High St
City
Port Byron
State
Illinois
Zip
61275-9532
Phone Number
309-848-9017
Fax Number
888-830-9748
person
Provider Business Mailing Address Details
Address
106 N High St
City
Port Byron
State
Illinois
Zip
61275-9532
Phone Number
309-848-9017
Fax Number
888-830-9748
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5854 (Arizona)
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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