Organization
JOHNSON FAMILY CHIROPRACTIC OF PEORIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE JOHNSON D.C. (PRESIDENT)
(309) 688-8773
Entity
Organization
Contact information
Practice address
3227 N PROSPECT RD, PEORIA, IL 61603-1544
(309) 688-8773
Mailing address
3227 N PROSPECT RD, PEORIA, IL 61603-1544
(309) 688-8773
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038011802
IL
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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