Central Illinois Chiropractic Center Pc | |
731 Sabrina Dr Unit B, East Peoria, IL 61611-3582 | |
(309) 699-2422 | |
Not Available |
Full Name | Central Illinois Chiropractic Center Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 731 Sabrina Dr Unit B, East Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1164941308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 038.011847 (Illinois) | Primary |
Provider Name | Michael Christopher Walz |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1841594850 PECOS PAC ID: 3072797208 Enrollment ID: I20110412000551 |
Mailing Address | Practice Location Address |
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Central Illinois Chiropractic Center Pc 731 Sabrina Dr Unit B, East Peoria, IL 61611-3582 Ph: () - | Central Illinois Chiropractic Center Pc 731 Sabrina Dr Unit B, East Peoria, IL 61611-3582 Ph: (309) 699-2422 |
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