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PEORIA CHIROPRACTIC PC
NPI 1457537508
Chiropractor in Peoria, IL

Active since January 18, 2008
2015 W GLEN AVE, SUITE 220, PEORIA, IL 61614(309) 693-1212(309) 693-2147 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peoria Chiropractic Pc NPPES

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

PEORIA CHIROPRACTIC PC (NPI 1457537508) is a healthcare organization registered as a chiropractor in Peoria, Illinois and active in the NPI registry since January 2008. The organization lists Ryder Church, Doctor, as its authorized official.

NPPES Registry Identity

NPI1457537508
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePEORIA CHIROPRACTIC PC
Location Address2015 W GLEN AVE, SUITE 220Peoria, IL 61614-4690
Mailing Address2015 W Glen Ave, Suite 220Peoria, IL 61614-4690 · (309) 693-1212 · Fax (309) 693-2147
Phone(309) 693-1212
Fax(309) 693-2147
Organization SubpartNo
Authorized OfficialRyder ChurchDoctor · (309) 693-1212
Enumeration DateJanuary 18, 2008
Last NPPES UpdateJuly 2, 2008
✔ NPI 1457537508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038007166
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.
2015 W GLEN AVE, Peoria, IL 61614
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Other Identifiers 2

Medicare PIN207731IL
Medicaid038007166IL

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 2

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

DR. DAVID LAWRENCE WOODRUFF D.D.S.
Dentist
2015 W GLEN AVE, SUITE 230
PEORIA, IL 61614
Peoria County (309) 673-4616
KHOURY CHIROPRACTIC INC
Chiropractor
2015 W GLEN AVE, SUITE 220
PEORIA, IL 61614
Peoria County (309) 693-1212

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 Peoria Chiropractic PC's NPI number?

The NPI number for Peoria Chiropractic PC is 1457537508. It was assigned to this organization in the NPPES registry on January 18, 2008.

Where is Peoria Chiropractic PC located?

Peoria Chiropractic PC is located at 2015 W Glen Ave Suite 220, Peoria, IL 61614. The listed phone number is (309) 693-1212.

What is Peoria Chiropractic PC'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 Peoria Chiropractic PC was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.