Petrie Chiropractic Clinic

NPI 1073566519 - Chiropractor - 111N00000X

NPI Details
NPI 1073566519
Enumeration Date 05/18/2006
Last Updated 11/06/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PATRICIA J PATRICIA
Position OWNER
Phone (815) 288-3614
Fax (815) 285-3525
Practice Location
315 S PEORIA AVE
DIXON IL, 61021-2956, US
Phone (815) 288-3614
Fax (815) 285-3525
Business Location
315 S PEORIA AVE
DIXON IL, 61021-2956, US
Phone (815) 288-3614
Fax (815) 285-3525
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038004367
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According to our database, Petrie Chiropractic Clinic NPI is 1073566519, taxonomy code is 111N00000X and license number is 038004367, license state is located at Illinois. Petrie Chiropractic Clinic physically located at 315 S Peoria Ave, Dixon IL, 61021-2956. NPI Number 1033115704 has the healthcare provider type.

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1073566519 NPI number is provided on an as is basis without warranty of any kind. 1073566519 is maintained by the National Plan & Provider Enumeration System. The contents of Petrie Chiropractic Clinic are for informational purposes only.