Greater Peoria Physical Medicine & Rehab

NPI #1861618829 in Peoria, Illinois

Provider Information

NPI Number: 1861618829
Entity Type: Organization
Organization Name: Greater Peoria Physical Medicine & Rehab
Primary Specialty: Chiropractor
Enumeration Date: Apr 18, 2007
Last Updated: Jun 20, 2013

Practice Location

Address: 5001 N. UNIVERSITY STREET
Address 2: SUITE A
City: Peoria
State: Illinois
ZIP Code: 61614
Phone: (309) 693-2225

Authorized Official

Name: AMANDA J KING
Title: CHIROPRACTIC ASSISTANT
Phone: (309) 693-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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