Organization
CENTRAL ILLINOIS CHIROPRACTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WALZ DC (OWNER)
(309) 699-2422
Entity
Organization
Contact information
Practice address
731 SABRINA DR UNIT B, EAST PEORIA, IL 61611-3582
(309) 699-2422
Mailing address
731 SABRINA DR UNIT B, EAST PEORIA, IL 61611-3582
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011847
IL
Other
Enumeration date
09/19/2017
Last updated
03/17/2018
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