Dr. Richard A. Olson Chiropractic Inc | |
7310 N Villa Lake Dr, Peoria, IL 61614-8267 | |
(309) 691-9767 | |
Not Available |
Full Name | Dr. Richard A. Olson Chiropractic Inc |
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Type | Facility |
Speciality | Chiropractor |
Location | 7310 N Villa Lake Dr, 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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1831234368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Richard A Olson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1952436180 PECOS PAC ID: 1850495763 Enrollment ID: I20070403000263 |
Mailing Address | Practice Location Address |
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Dr. Richard A. Olson Chiropractic Inc 7310 N Villa Lake Dr, Peoria, IL 61614-8267 Ph: (309) 691-9767 | Dr. Richard A. Olson Chiropractic Inc 7310 N Villa Lake Dr, Peoria, IL 61614-8267 Ph: (309) 691-9767 |
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