| Performance Spine And Sports Center, Llc | |
|
332 S 36th St Suite 3 Quincy IL 62301-5808 | |
| (731) 796-6910 | |
| Not Available |
| Full Name | Performance Spine And Sports Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 332 S 36th St, Quincy, Illinois |
| Authorized Official Name and Position | Wesley David Creech (CHIROPRACTOR) |
| Authorized Official Contact | 7317966910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Spine And Sports Center, Llc 535 Jones Rd Union City TN 38261-9023 Ph: () - | Performance Spine And Sports Center, Llc 332 S 36th St Suite 3 Quincy IL 62301-5808 Ph: (731) 796-6910 |
| NPI Number | 1386967099 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 03/09/2010 |
| Medicare PECOS PAC ID | 2961694591 |
|---|---|
| Medicare Enrollment ID | O20101014000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386967099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 038011628 (Illinois) | Primary |
| Provider Name | Wesley D Creech |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548424567 PECOS PAC ID: 3173690757 Enrollment ID: I20101014000228 |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4409 Maine St Ste 100, Quincy, IL 62305 Phone: 217-919-9139 Fax: 217-223-0461 | |
Blessing Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 N 34th St, Quincy, IL 62301 Phone: 217-214-9626 Fax: 217-214-9627 | |
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Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Vermont St Ste 100, Quincy, IL 62301 Phone: 217-222-8440 Fax: 217-222-8508 | |
Blessing Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1005 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9945 | |
Preferred Family Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 540 Harrison St, Quincy, IL 62301 Phone: 573-603-1460 Fax: 573-603-1462 | |
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