Pleasant Valley Chiropractic and Sports Medicine
Organization Active NPI Primary Care Clinic/Center · Stockton, IL
NPI 1376896779 · NPPES record last updated Oct 23, 2012
Key facts
- NPI
- 1376896779
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 36007442 (IL)
- Legal business name
- PLEASANT VALLEY CHIROPRACTIC AND SPORTS MEDICINE
- Practice address
- 11720 E Wilson Rd
Stockton, IL 61085-9547 - Phone
- (815) 947-6026
- NPI assigned
- Oct 23, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Peter F. Zid, D.C.
- Title
- Owner
- Phone
- (815) 947-6026
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 36007442 | IL | Yes |
Addresses
Primary practice location
11720 E Wilson Rd
Stockton, IL 61085-9547
Mailing address
11720 E Wilson Rd
P.O.Box 134
Stockton, IL 61085-9547
Phone (815) 947-6026
Other providers in Stockton, IL
- Jennifer Johnson
- Kreider Services, Inc
- Amy Larson
- Michael J McFadden
- Stephen F Petras
- Premier Chiropractic PC
- Caitlin M Pullara
- Travis J Ray
- Stockton Cusd 206
- Stockton Dental Center, Inc.
All providers in Stockton, IL · Primary Care Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2012. 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.