Pleasant Valley Chiropractic And Sports Medicine | |
11720 E Wilson Rd Stockton IL 61085-9547 | |
(815) 947-6026 | |
Not Available |
Full Name | Pleasant Valley Chiropractic And Sports Medicine |
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Speciality | Clinic/center - Primary Care |
Location | 11720 E Wilson Rd, Stockton, Illinois |
Authorized Official Name and Position | Peter F. Zid (OWNER) |
Authorized Official Contact | 8159476026 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pleasant Valley Chiropractic And Sports Medicine 11720 E Wilson Rd P.o.box 134 Stockton IL 61085-9547 Ph: (815) 947-6026 | Pleasant Valley Chiropractic And Sports Medicine 11720 E Wilson Rd Stockton IL 61085-9547 Ph: (815) 947-6026 |
NPI Number | 1376896779 |
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Provider Enumeration Date | 10/23/2012 |
Last Update Date | 10/23/2012 |
Identifier | Type | State | Issuer |
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1376896779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 36007442 (Illinois) | Primary |