Johnson Family Chiropractic Of Peoria, PC
Clinic/Center in Peoria, IL. Organization (NPI-2).
NPI number1508167388
StatusActive
Last updated in NPPESNov 9, 2010
Details
- NPI
- 1508167388
- Entity type
- Organization (NPI-2)
- Legal business name
- Johnson Family Chiropractic Of Peoria, PC
- Organization subpart
- No
- Enumeration date
- Nov 9, 2010
- Last updated
- Nov 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 038011802 | IL | Yes |
Practice location
3227 N Prospect RdPeoria, IL 61603-1544
Phone 309-688-8773
Mailing address
3227 N Prospect RdPeoria, IL 61603-1544
Phone 309-688-8773
Authorized official
Kyle Johnson
President
3096888773
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