Khoury Chiropractic Inc in Peoria - Chiropractor
Khoury Chiropractic Inc - NPI 1942467105
Khoury Chiropractic Inc is a Chiropractor in Peoria, Illinois. Khoury Chiropractic Inc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Khoury Chiropractic Inc is 1942467105. The last update date is 2018-06-21.
Khoury Chiropractic Inc's current location address is 2015 W Glen Ave, Peoria, Illinois. You can contact this provider via phone number 3096931212 and fax number 3096932147. The mailing address for Khoury Chiropractic Inc is 2015 W Glen Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Khoury Chiropractic Inc |
|---|---|
| Address | 2015 W Glen Ave, Peoria, Illinois |
| Phone Number | 3096931212 |
| Fax Number | 3096932147 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIROPRACT |
|---|---|
| Authorized Official Name | Khoury A Tracie |
| Credentials | DC |
| Telephone Number | 3096931212 |
NPI Number Detail
| NPI Number | 1942467105 |
|---|---|
| Provider Enumeration Date | 2008-05-16 |
| Last Updated Date | 2018-06-21 |
Provider Mailing Address Detail
| Address | 2015 W Glen Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144690 |
| Phone Number | 3096931212 |
| Fax Number | 3096932147 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38009705 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38009705 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Khoury Chiropractic Inc by the Centers for Medicare & Medicaid Services?
The Khoury Chiropractic Inc has been issued the NPI (National Provider Identifier) 1942467105, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Khoury Chiropractic Inc?
The Khoury Chiropractic Inc is physically situated at 2015 W Glen Ave, in the city of Peoria, state of IL, with the postal code 616144690.
What is the Khoury Chiropractic Inc's specialty and taxonomy code?
The Khoury Chiropractic Inc's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942467105 to Khoury Chiropractic Inc?
The Khoury Chiropractic Inc received its 1942467105 assignment from the Centers for Medicare & Medicaid Services on 2008-05-16.
As of what date were the Khoury Chiropractic Inc's details last updated?
The information pertaining to the Khoury Chiropractic Inc, including its address, specialty, and other details, was most recently updated on 2018-06-21.