Organization
SHEPARD PAIN AND PERFORMANCE CARE PC
Active
Other names
Shepard Pain and Performance Care PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW J SHEPARD D.C. (PRESIDENT)
(815) 980-5706
Entity
Organization
Contact information
Practice address
2 AIRLINE DR, SUITE 400, BLOOMINGTON, IL 61704-3433
(815) 980-5706
Mailing address
108 OAK CREEK PLZ APT 3-12, APT 3-12, BLOOMINGTON, IL 61704-7545
(815) 980-5706
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038011982
IL
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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