is a Chiropractor in Peoria, Illinois. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for is 1407013485. The last update date is .
's current location address is 3105 N Prospect Rd, Peoria, Illinois. You can contact this provider via phone number 3096855224 and fax number 3096857377. The mailing address for is 3105 N Prospect Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3105 N Prospect Rd, Peoria, Illinois |
| Phone Number | 3096855224 |
| Fax Number | 3096857377 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1407013485 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3105 N Prospect Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616031505 |
| Phone Number | 3096855224 |
| Fax Number | 3096857377 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 038-003210 |
|
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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