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Peoria Chiropractic Pc
Chiropractor in Peoria, Illinois
NPI 1457537508

Peoria Chiropractic Pc is a Chiropractor based in Peoria, IL. Peoria Chiropractic Pc practices in Peoria, IL. The NPI Number for Peoria Chiropractic Pc is 1457537508 and holds a License No. 038007166 (Illinois).

The current practice location address for Peoria Chiropractic Pc is 2015 W Glen Ave, Peoria, IL and can be reached out via phone at 309-693-1212 and via fax at 309-693-2147.

Location: 2015 W Glen Ave, Peoria, IL, 61614-4690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457537508
Provider Name
Peoria Chiropractic Pc
Credential
Provider Entity Type
Organization
Address
2015 W Glen Ave, Peoria, IL, 61614-4690
Phone Number
309-693-1212
Fax Number
309-693-2147
Provider Enumeration Date
01/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
038007166 05 IL
institution
Provider Business Practice Location Address Details
Address
2015 W Glen Ave
City
Peoria
State
Illinois
Zip
61614-4690
Phone Number
309-693-1212
Fax Number
309-693-2147
person
Provider Business Mailing Address Details
Address
2015 W Glen Ave
City
Peoria
State
Illinois
Zip
61614-4690
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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