Illinois Valley Chiropractic, Ltd
NPI #1679883185 in La Salle, Illinois
Provider Information
- NPI Number
- 1679883185
- Entity Type
- Organization
- Organization Name
- Illinois Valley Chiropractic, Ltd
- Primary Specialty
- Chiropractor - Sports Physician
- Enumeration Date
- Oct 18, 2010
- Last Updated
- Oct 18, 2010
Practice Location
Authorized Official
- Name
- DR. GLEN R PETERSON, D.C.
- Title
- PRESIDENT
- Phone
- (815) 223-4201
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Sports Physician — Sports Physician |
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