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JOHNSON FAMILY CHIROPRACTIC OF PEORIA PC NPI 1508167388


NPI Information

NPI: 1508167388
Provider Name: JOHNSON FAMILY CHIROPRACTIC OF PEORIA, PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3227 N PROSPECT RD
PEORIA, IL
ZIP 61603
Phone: (309) 688-8773
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JOHNSON FAMILY CHIROPRACTIC OF PEORIA, PC is a clinic center in Peoria, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). JOHNSON FAMILY CHIROPRACTIC OF PEORIA, PC NPI is 1508167388. The provider is registered as an organization entity type.

The provider's business location address is:

3227 N PROSPECT RD
PEORIA, IL
ZIP 61603-544
Phone: (309) 688-8773

The provider's authorized official is Kyle Johnson .
The authorized official title is President and has the following contact phone number (309) 688-8773.

The enumeration date for this NPI number is 11/9/2010 and was last updated on 11/9/2010.


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
1261Q00000XClinic/Center038011802ILLINOISYes

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

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