Organization
KHOURY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACIE A KHOURY DC (CHIROPRACTOR)
(309) 693-1212
Entity
Organization
Contact information
Practice address
2015 W GLEN AVE, SUITE 220, PEORIA, IL 61614-4690
(309) 693-1212
(309) 693-2147
Mailing address
2015 W GLEN AVE, SUITE 220, PEORIA, IL 61614-4690
(309) 693-1212
(309) 693-2147
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009705
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038009705
—
IL
Enumeration date
05/16/2008
Last updated
06/21/2018
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