Organization
ALTON MEDICAL REHABILTATION
Active
Organization
ALTON MEDICAL REHABILTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY JOHN PFEIFER D.C. (PRESIDENT)
(618) 462-2008
Entity
Organization
Contact information
Practice address
1751 WASHINGTON AVE, ALTON, IL 62002-4624
(618) 462-2008
Mailing address
1751 WASHINGTON AVE., ALTON, IL 62002-1083
(618) 462-2008
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042-6183336
STATE LICENSE
IL
Enumeration date
05/18/2007
Last updated
08/22/2020
Update your record
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