Organization
SHEPARD PAIN AND PERFORMANCE CARE PC
Active
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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