Neck To Back Peoria Llc is a
Family Medicine based in Peoria, Illinois. Neck To Back Peoria Llc is licensed to practice in Illinois (license number ) and their current practice location is
5105 N Glen Park Place Rd, Peoria, Illinois. It can be reached at their office (for appointments etc.) via phone at
(309) 691-9300.
NPI number for Neck To Back Peoria Llc is 1164475976 and their current mailing address is 7177 Crimson Ridge Dr, Suite 14, Rockford, Illinois. Neck To Back Peoria Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1164475976.
Healthcare Provider's Profile
Full Name | Neck To Back Peoria Llc |
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Type | Facility |
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Speciality | Family Medicine |
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Location | 5105 N Glen Park Place Rd, Peoria, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164475976
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Neck To Back Peoria Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164475976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | (Illinois) | Primary |
207Q00000X | Family Medicine | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Neck To Back Peoria Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Neck To Back Peoria Llc 7177 Crimson Ridge Dr, Suite 14, Rockford, IL 61107-6208 Ph: (815) 227-9900 | Neck To Back Peoria Llc 5105 N Glen Park Place Rd, Peoria, IL 61614-4688 Ph: (309) 691-9300 |
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