NPI | 1144340860 |
---|---|
Doing Business As | EAST PEORIA CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | GARY R CHILDS President 309-698-7010 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038004263) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2020-08-22 |