| Peak Performance Chiropractic Llc | |
|
62 Executive Plaza Ct, Maryville, IL 62062-5822 | |
| (618) 650-8062 | |
| Not Available |
| Full Name | Peak Performance Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 62 Executive Plaza Ct, Maryville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104319482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Lindsey Nicole Langendorf |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104348085 PECOS PAC ID: 8921379694 Enrollment ID: I20170810000577 |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Performance Chiropractic Llc 62 Executive Plaza Ct, Maryville, IL 62062-5822 Ph: (618) 650-8062 | Peak Performance Chiropractic Llc 62 Executive Plaza Ct, Maryville, IL 62062-5822 Ph: (618) 650-8062 |
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