| Peoria Spine And Sport Ltd. | |
|
7800 N Sommer St Ste 203, Peoria, IL 61615-1990 | |
| (309) 691-9767 | |
| Not Available |
| Full Name | Peoria Spine And Sport Ltd. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 7800 N Sommer St Ste 203, 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 |
|---|---|---|---|
| 1134764517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Benjamin Charles Deig |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134778418 PECOS PAC ID: 0143653600 Enrollment ID: I20191214000266 |
| Provider Name | Jaclyn Lawfer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245886647 PECOS PAC ID: 5890107676 Enrollment ID: I20201221000493 |
| Mailing Address | Practice Location Address |
|---|---|
| Peoria Spine And Sport Ltd. 316 E Edgewood St, Morton, IL 61550-2534 Ph: (309) 369-5474 | Peoria Spine And Sport Ltd. 7800 N Sommer St Ste 203, Peoria, IL 61615-1990 Ph: (309) 691-9767 |
T Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7800 N Sommer St, Ste 203, Peoria, IL 61615 Phone: 309-691-9767 Fax: 309-691-9457 | |
Cotton Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 901 W Glen Ave, Suite A, Peoria, IL 61614 Phone: 309-693-1212 Fax: 309-693-2147 | |
Dr. Robert Daniel Kelch, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7213 N Allen Rd, Peoria, IL 61614 Phone: 309-693-8448 | |
Mccavitt Chiropractic Center, P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 3711 N Sheridan Rd, Peoria, IL 61614 Phone: 309-688-2271 Fax: 309-688-0920 | |
Shawn Durbin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1200 W Loucks Ave, Peoria, IL 61604 Phone: 309-688-4484 Fax: 309-688-4485 | |
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 |