| River City Alternative Health, Inc. | |
|
106 N High St, Port Byron, IL 61275-9532 | |
| (309) 848-9017 | |
| (888) 830-9748 |
| Full Name | River City Alternative Health, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 106 N High St, Port Byron, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588929277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038012184 (Illinois) | Primary |
| Provider Name | Peter David Crocker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437169851 PECOS PAC ID: 1658356381 Enrollment ID: I20121206000300 |
| Mailing Address | Practice Location Address |
|---|---|
| River City Alternative Health, Inc. Po Box 97, Port Byron, IL 61275-0097 Ph: (309) 848-9017 | River City Alternative Health, Inc. 106 N High St, Port Byron, IL 61275-9532 Ph: (309) 848-9017 |
Dr. Peter D Crocker, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 106 N High St, Port Byron, IL 61275 Phone: 309-848-9017 Fax: 888-830-9748 | |
Dr. David Lee Bull, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1010 Rose Hill Rd, Port Byron, IL 61275 Phone: 309-523-3491 Fax: 309-523-3670 | |
Bull Clinic P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1010 Rosehill Rd, Port Byron, IL 61275 Phone: 309-523-3491 Fax: 309-523-3670 |