| Midwest Multicare, Pc | |
|
4410 N Knoxville Ave, Suite D, Peoria, IL 61614-6086 | |
| (309) 282-6419 | |
| Not Available |
| Full Name | Midwest Multicare, Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4410 N Knoxville Ave, Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164622072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038-009644 (Illinois) | Primary |
| Provider Name | Blair D Hunt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396751897 PECOS PAC ID: 7315903416 Enrollment ID: I20041209000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Multicare, Pc 4410 N Knoxville Ave, Suite D, Peoria, IL 61614-6086 Ph: (309) 282-6419 | Midwest Multicare, Pc 4410 N Knoxville Ave, Suite D, Peoria, IL 61614-6086 Ph: (309) 282-6419 |
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