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POLO CHIROPRACTIC CENTER P C NPI 1144305368


NPI Information

NPI: 1144305368
Provider Name: POLO CHIROPRACTIC CENTER P C
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
109 S FRANKLIN AVE
POLO, IL
ZIP 61064
Phone: (815) 946-9977
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POLO CHIROPRACTIC CENTER P C is a chiropractor in Polo, IL. The provider is 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. POLO CHIROPRACTIC CENTER P C NPI is 1144305368. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

109 S FRANKLIN AVE
POLO, IL
ZIP 61064-713
Phone: (815) 946-9977
Fax: (815) 946-4155

The provider's authorized official is Robert Keith Webb .
The authorized official title is President and has the following contact phone number (815) 946-9977.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 3/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
107130356OTHERILLINOISBLUE CROSS OF IL
2312560MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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