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Organization

PLEASANT VALLEY CHIROPRACTIC AND SPORTS MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER F. ZID D.C. (OWNER)
(815) 947-6026
Entity
Organization

Contact information

Practice address
11720 E WILSON RD, STOCKTON, IL 61085-9547
(815) 947-6026
Mailing address
11720 E WILSON RD, P.O.BOX 134, STOCKTON, IL 61085-9547
(815) 947-6026

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
36007442
IL

Other

Enumeration date
10/23/2012
Last updated
10/23/2012
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