PEORIA SPINE AND SPORT LTD.

PEORIA, IL
NPI1134764517
Entity TypeOrganization
Authorized ContactBENJAMIN CHARLES DEIG
President
309-691-9767
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
Enumeration Date2019-11-09
Last Update Date2019-11-09
Business Address
PEORIA SPINE AND SPORT LTD.
7800 N SOMMER ST STE 203
PEORIA, IL 61615-1990
Phone number: 309-691-9767
Mailing Address
PEORIA SPINE AND SPORT LTD.
316 E EDGEWOOD ST
MORTON, IL 61550-2534
Phone number: 309-369-5474
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