Peoria Chiropractic PC

NPI #1457537508 in Peoria, Illinois

Provider Information

NPI Number: 1457537508
Entity Type: Organization
Organization Name: Peoria Chiropractic PC
Primary Specialty: Chiropractor
Enumeration Date: Jan 18, 2008
Last Updated: Jul 2, 2008

Practice Location

Address: 2015 W GLEN AVE
Address 2: SUITE 220
City: Peoria
State: Illinois
ZIP Code: 61614-4690
Phone: (309) 693-1212

Authorized Official

Name: DR. RYDER CHURCH, DC
Title: DOCTOR
Phone: (309) 693-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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