Provider Type Icon

NECK TO BACK PEORIA LLC NPI 1164475976


NPI Information

NPI: 1164475976
Provider Name: NECK TO BACK PEORIA LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5105 N GLEN PARK PLACE RD
PEORIA, IL
ZIP 61614
Phone: (309) 691-9300
Get Directions

NECK TO BACK PEORIA LLC is a family medicine in Peoria, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NECK TO BACK PEORIA LLC NPI is 1164475976. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5105 N GLEN PARK PLACE RD
PEORIA, IL
ZIP 61614-688
Phone: (309) 691-9300
Fax: (309) 691-9403

The provider's authorized official is Wendy Newman .
The authorized official title is Comptroller and has the following contact phone number (815) 227-9900.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineILLINOISYes
2111N00000XChiropractorILLINOISX

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.