Individual provider · Type 1 NPI
Peter William Vercellino, DC
Chiropractor · Decatur, IL
NPI number
1619434388
Active
Practice location
3350 N Water St Ste A
Decatur, IL 62526-2353
Fax (217) 877-2522
Mailing address
484 N 33rd St
Decatur, IL 62521-2314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038.013325 (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 1619434388
Peter William Vercellino, DC's National Provider Identifier is 1619434388, issued on Feb 28, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Decatur, IL. The record was last updated on Mar 5, 2019.