Organization · Type 2 NPI

Tazewell Physical Medicine SC

Chiropractor · East Peoria, IL

NPI number 1124138003 Active

Practice location

1100 E Washington St
East Peoria, IL 61611-2786

Call (309) 698-2500 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X038-010333 (IL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1124138003

Tazewell Physical Medicine SC's National Provider Identifier is 1124138003, issued on Aug 30, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in East Peoria, IL. The record was last updated on Dec 10, 2013.