Haynes Family Chiropractic, Inc. | |
2886 W Willow Knolls Dr, Peoria, IL 61614-1102 | |
(309) 839-8238 | |
Not Available |
Full Name | Haynes Family Chiropractic, Inc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 2886 W Willow Knolls 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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1619390564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Christine A Haynes |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1356607899 PECOS PAC ID: 3476799321 Enrollment ID: I20140728002627 |
Provider Name | Kyle J Haynes |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1639444367 PECOS PAC ID: 7214160308 Enrollment ID: I20140728002677 |
Mailing Address | Practice Location Address |
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Haynes Family Chiropractic, Inc. 2886 W Willow Knolls Dr, Peoria, IL 61614-1102 Ph: () - | Haynes Family Chiropractic, Inc. 2886 W Willow Knolls Dr, Peoria, IL 61614-1102 Ph: (309) 839-8238 |
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