Tazewell Physical Medicine Sc

NPI #1124138003 in East Peoria, Illinois

Provider Information

NPI Number: 1124138003
Entity Type: Organization
Organization Name: Tazewell Physical Medicine Sc
Primary Specialty: Chiropractor
Enumeration Date: Aug 30, 2006
Last Updated: Dec 10, 2013

Practice Location

Address: 1100 E WASHINGTON ST
City: East Peoria
State: Illinois
ZIP Code: 61611-2786
Phone: (309) 698-2500

Authorized Official

Name: DR. WILLIAM GREGORY WEINMAN, D.C.
Title: TREASURER
Phone: (309) 369-0434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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