DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAZEWELL PHYSICAL MEDICINE SC

Active Organization

Chiropractor · EAST PEORIA, IL

Registration Details

NPI Number
1124138003
Provider Type
Organization
NPI Issued
Aug 30, 2006 (19.68270890592 yrs)
Last Updated
Dec 10, 2013
License
038-010333 (IL)

Practice Information

Address
1100 E WASHINGTON ST
EAST PEORIA, IL, 616112786
Browse IL providers · Browse ZIP 61611
Phone
3096982500
Primary Specialty
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.