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Organization
TAZEWELL PHYSICAL MEDICINE SC
Active
Organization
TAZEWELL PHYSICAL MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GREGORY WEINMAN D.C. (TREASURER)
(309) 369-0434
Entity
Organization
Contact information
Practice address
1100 E WASHINGTON ST, EAST PEORIA, IL 61611-2786
(309) 698-2500
Mailing address
1100 E WASHINGTON ST, EAST PEORIA, IL 61611-2786
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010333
IL
Other
Enumeration date
08/30/2006
Last updated
12/10/2013
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