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Organization
RIVER CITY ALTERNATIVE HEALTH, INC.
Active
Organization
RIVER CITY ALTERNATIVE HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CROCKER (OWNER)
(309) 848-9017
Entity
Organization
Contact information
Practice address
106 N HIGH ST, PORT BYRON, IL 61275-9532
(309) 848-9017
(888) 830-9748
Mailing address
PO BOX 97, PORT BYRON, IL 61275-0097
(309) 848-9017
(888) 830-9748
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012184
IL
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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