River City Alternative Health, Inc. | |
106 N High St, Port Byron, IL 61275-9532 | |
(309) 848-9017 | |
(888) 830-9748 |
Full Name | River City Alternative Health, Inc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 106 N High St, Port Byron, 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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1588929277 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 038012184 (Illinois) | Primary |
Provider Name | Peter David Crocker |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1437169851 PECOS PAC ID: 1658356381 Enrollment ID: I20121206000300 |
Mailing Address | Practice Location Address |
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River City Alternative Health, Inc. Po Box 97, Port Byron, IL 61275-0097 Ph: (309) 848-9017 | River City Alternative Health, Inc. 106 N High St, Port Byron, IL 61275-9532 Ph: (309) 848-9017 |
Dr. Peter D Crocker, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 106 N High St, Port Byron, IL 61275 Phone: 309-848-9017 Fax: 888-830-9748 | |
Dr. David Lee Bull, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1010 Rose Hill Rd, Port Byron, IL 61275 Phone: 309-523-3491 Fax: 309-523-3670 | |
Bull Clinic P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1010 Rosehill Rd, Port Byron, IL 61275 Phone: 309-523-3491 Fax: 309-523-3670 |