Primary Care Physicians, S.C.
Organization Active NPI Chiropractor · Quincy, IL
NPI 1366465213 · NPPES record last updated Mar 10, 2008
Key facts
- NPI
- 1366465213
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- PRIMARY CARE PHYSICIANS, S.C.
- Practice address
- 3701 E Lake Ctr
Suite 1
Quincy, IL 62305-5842 - Phone
- (217) 224-3935
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Terry William Shaw, D.C.
- Title
- Owner/President
- Phone
- (217) 224-3935
National Provider Directory
Locations
3701 E Lake Ctr
Quincy, IL 62305
3701 E Lake Ctr
Ste 1
Quincy, IL 62305
Phone (217) 224-3935
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | IL | Yes | |
| Internal Medicine Physician |
207R00000X | IL |
Addresses
Primary practice location
3701 E Lake Ctr
Suite 1
Quincy, IL 62305-5842
Mailing address
3701 E Lake Ctr
Suite 1
Quincy, IL 62305-5842
Phone (217) 224-3935
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123650 | Other | IL | BCBS GROUP NUMBER |
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.