Petrie Chiropractic Clinic in Dixon - Chiropractor
Petrie Chiropractic Clinic - NPI 1073566519
Petrie Chiropractic Clinic is a Chiropractor in Dixon, Illinois. Petrie Chiropractic Clinic practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Petrie Chiropractic Clinic is 1073566519. The last update date is 2007-11-06.
Petrie Chiropractic Clinic's current location address is 315 S Peoria Ave, Dixon, Illinois. You can contact this provider via phone number 8152883614 and fax number 8152853525. The mailing address for Petrie Chiropractic Clinic is 315 S Peoria Ave, Dixon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Petrie Chiropractic Clinic |
|---|---|
| Address | 315 S Peoria Ave, Dixon, Illinois |
| Phone Number | 8152883614 |
| Fax Number | 8152853525 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Petrie J Patricia |
| Credentials | D.C. |
| Telephone Number | 8152883614 |
NPI Number Detail
| NPI Number | 1073566519 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2007-11-06 |
Provider Mailing Address Detail
| Address | 315 S Peoria Ave |
|---|---|
| City | Dixon |
| State | Illinois (IL) |
| Post Code | 610212956 |
| Phone Number | 8152883614 |
| Fax Number | 8152853525 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38004367 |
|
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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38004367 | IL | -- | |
| 5282006 | IL | BLUE CROSS/ BLUE SHIELD |
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What is the Petrie Chiropractic Clinic's unique identification number?
The Petrie Chiropractic Clinic has been assigned the NPI (National Provider Identifier) Number 1073566519 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Petrie Chiropractic Clinic's physical address?
The Petrie Chiropractic Clinic is physically located at 315 S Peoria Ave, in the city of Dixon, IL, with the postal code 610212956.
What is Petrie Chiropractic Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Petrie Chiropractic Clinic is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
When was the Petrie Chiropractic Clinic's 1073566519 issued?
The Petrie Chiropractic Clinic's 1073566519 was issued on 2006-05-18.
As of what date were the details related to Petrie Chiropractic Clinic most recently updated or revised?
The information pertaining to Petrie Chiropractic Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-06.