Individual provider · Type 1 NPI
Pamela Anne Wilcoxen-Rose, DC
Chiropractor · Peoria, IL
NPI number
1629140660
Active
Practice location
4410 N Knoxville Ave Ste E
Peoria, IL 61614-6083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038-006551 (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 1629140660
Pamela Anne Wilcoxen-Rose, DC's National Provider Identifier is 1629140660, issued on Nov 14, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Peoria, IL. The record was last updated on Oct 7, 2019.