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Organization
T CHIROPRACTIC, LLC
Active
Organization
T CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIGE ANDREW TRAVIS DC (OWNER)
(309) 691-9767
Entity
Organization
Contact information
Practice address
7800 N SOMMER ST, STE 203, PEORIA, IL 61615-1934
(309) 691-9767
(309) 691-9457
Mailing address
7800 N SOMMER ST, STE 203, PEORIA, IL 61615-1934
(309) 691-9767
(309) 691-9457
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012894
IL
Other
Enumeration date
02/27/2017
Last updated
04/30/2018
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