| 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 | This clinic does not participate in Medicare Program. |
| 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 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386967099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 038011628 (Illinois) | Primary |
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