| Pleasant Valley Chiropractic And Sports Medicine | |
|
11720 E Wilson Rd Stockton IL 61085-9547 | |
| (815) 947-6026 | |
| Not Available |
| Full Name | Pleasant Valley Chiropractic And Sports Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11720 E Wilson Rd, Stockton, Illinois |
| Authorized Official Name and Position | Peter F. Zid (OWNER) |
| Authorized Official Contact | 8159476026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pleasant Valley Chiropractic And Sports Medicine 11720 E Wilson Rd P.o.box 134 Stockton IL 61085-9547 Ph: (815) 947-6026 | Pleasant Valley Chiropractic And Sports Medicine 11720 E Wilson Rd Stockton IL 61085-9547 Ph: (815) 947-6026 |
| NPI Number | 1376896779 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 10/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376896779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 36007442 (Illinois) | Primary |