Al Peoria, Llc is a Chiropractor in Peoria, Illinois. Al Peoria, Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Al Peoria, Llc is 1740396407. The last update date is 2012-12-14.
Al Peoria, Llc's current location address is 4812 N Sheridan Rd, Peoria, Illinois. You can contact this provider via phone number 3096896200 and fax number 3096896219. The mailing address for Al Peoria, Llc is 4812 N Sheridan Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Al Peoria, Llc |
|---|---|
| Address | 4812 N Sheridan Rd, Peoria, Illinois |
| Phone Number | 3096896200 |
| Fax Number | 3096896219 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Esposito Joseph |
| Credentials | D.C. |
| Telephone Number | 3094538500 |
NPI Number Detail
| NPI Number | 1740396407 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2012-12-14 |
Provider Mailing Address Detail
| Address | 4812 N Sheridan Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616145928 |
| Phone Number | 3096896200 |
| Fax Number | 3096896219 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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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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What is the unique 10-digit identification code issued to Al Peoria, Llc by the Centers for Medicare & Medicaid Services?
The Al Peoria, Llc has been assigned the NPI (National Provider Identifier) 1740396407 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Al Peoria, Llc is physically located?
The Al Peoria, Llc is physically situated at the following address: 4812 N Sheridan Rd, Peoria, IL, 616145928.
What is Al Peoria, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Al Peoria, Llc's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740396407 to Al Peoria, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1740396407 to Al Peoria, Llc on 2006-08-22.
As of what date were the details pertaining to Al Peoria, Llc last refreshed?
The information related to the Al Peoria, Llc, including its address, specialty, and other relevant details, was last updated on 2012-12-14.