Peoria Chiropractic Pc in Peoria - Chiropractor
Peoria Chiropractic Pc - NPI 1457537508
Peoria Chiropractic Pc is a Chiropractor in Peoria, Illinois. Peoria Chiropractic Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Peoria Chiropractic Pc is 1457537508. The last update date is 2008-07-02.
Peoria Chiropractic Pc'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 Peoria Chiropractic Pc is 2015 W Glen Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peoria Chiropractic Pc |
|---|---|
| Address | 2015 W Glen Ave, Peoria, Illinois |
| Phone Number | 3096931212 |
| Fax Number | 3096932147 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Church Ryder |
| Credentials | DC |
| Telephone Number | 3096931212 |
NPI Number Detail
| NPI Number | 1457537508 |
|---|---|
| Provider Enumeration Date | 2008-01-18 |
| Last Updated Date | 2008-07-02 |
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 | 38007166 |
|
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 |
|---|---|---|---|
| 38007166 | IL | -- |
Post Comment/ Review Below
What is the Peoria Chiropractic Pc's unique identification number?
The Peoria Chiropractic Pc has been assigned the NPI (National Provider Identifier) Number 1457537508 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Peoria Chiropractic Pc's physical address?
The Peoria Chiropractic Pc is physically located at 2015 W Glen Ave, in the city of Peoria, IL, with the postal code 616144690.
What is Peoria Chiropractic Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peoria Chiropractic Pc is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did Peoria Chiropractic Pc receive its 1457537508 assignment from the Centers for Medicare & Medicaid Services?
The Peoria Chiropractic Pc was assigned its 1457537508 on 2008-01-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Peoria Chiropractic Pc most recently updated or refreshed?
The details pertaining to the Peoria Chiropractic Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-02.
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