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TAZEWELL PHYSICAL MEDICINE SC
NPI 1124138003
Chiropractor in East Peoria, IL

Active since August 30, 2006
1100 E WASHINGTON ST, EAST PEORIA, IL 61611(309) 698-2500 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tazewell Physical Medicine Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAZEWELL PHYSICAL MEDICINE SC (NPI 1124138003) is a healthcare organization registered as a chiropractor in East Peoria, Illinois and active in the NPI registry since August 2006. The organization lists William Gregory Weinman, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1124138003
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTAZEWELL PHYSICAL MEDICINE SC
Location Address1100 E WASHINGTON STEast Peoria, IL 61611-2786
Mailing Address1100 E Washington StEast Peoria, IL 61611-2786
Phone(309) 698-2500
Organization SubpartNo
Authorized OfficialWilliam Gregory WeinmanTreasurer · (309) 369-0434
Enumeration DateAugust 30, 2006
Last NPPES UpdateDecember 10, 2013
✔ NPI 1124138003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038-010333
Definition
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.
1100 E WASHINGTON ST, East Peoria, IL 61611
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Other Identifiers 1

Medicare ID-Type Unspecified214159IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM GREG WEINMAN D.C.
Chiropractor
1100 E WASHINGTON ST
EAST PEORIA, IL 61611
Tazewell County (309) 698-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tazewell Physical Medicine Sc's NPI number?

The NPI number for Tazewell Physical Medicine Sc is 1124138003. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Tazewell Physical Medicine Sc located?

Tazewell Physical Medicine Sc is located at 1100 E Washington St, East Peoria, IL 61611. The listed phone number is (309) 698-2500.

What is Tazewell Physical Medicine Sc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Tazewell Physical Medicine Sc was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.