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Organization
NELSON CHIROPRACTIC S C
Active
Organization
NELSON CHIROPRACTIC S C
Active
Other names
Nelson Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY LOREN NELSON (PRESIDENT)
(309) 691-9767
Entity
Organization
Contact information
Practice address
7800 N SOMMER ST STE 203, PEORIA, IL 61615-1990
(309) 691-9767
(309) 691-9457
Mailing address
7800 N SOMMER ST STE 203, PEORIA, IL 61615-1990
(309) 691-9767
(309) 691-9457
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
042.617841
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212653
MEDICARE GROUP ID
IL
Enumeration date
10/28/2007
Last updated
09/26/2025
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