Inner Spirit Chiropractic Inc | |
4809 N Sheridan Rd, Peoria, IL 61614-5927 | |
(309) 685-5777 | |
(309) 685-5779 |
Full Name | Inner Spirit Chiropractic Inc |
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Type | Facility |
Speciality | Chiropractor |
Location | 4809 N Sheridan Rd, 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 |
---|---|---|---|
1316951635 | NPI | - | NPPES |
7227304 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (Illinois) | Primary |
Provider Name | Nicole L Lackner |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1710097530 PECOS PAC ID: 5294639647 Enrollment ID: I20031126000282 |
Mailing Address | Practice Location Address |
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Inner Spirit Chiropractic Inc 4809 N Sheridan Rd, Peoria, IL 61614-5927 Ph: (309) 685-5777 | Inner Spirit Chiropractic Inc 4809 N Sheridan Rd, Peoria, IL 61614-5927 Ph: (309) 685-5777 |
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Lifetime Health Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7501 N University St Ste 220, Peoria, IL 61614 Phone: 309-713-1791 Fax: 309-713-1791 | |
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Dr. Matthew Ryan Howard, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5901 N Prospect Rd, Suite 101, Peoria, IL 61614 Phone: 309-691-9355 Fax: 309-691-9357 |