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GLAS CHIROPRACTIC S.C. NPI 1861686503


NPI Information

NPI: 1861686503
Provider Name: GLAS CHIROPRACTIC S.C.

Doing Business As: GLAS CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1415 W RIVERVIEW DR
EAST PEORIA, IL
ZIP 61611
Phone: (309) 453-7607
Get Directions

GLAS CHIROPRACTIC S.C. is a chiropractor in East Peoria, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. GLAS CHIROPRACTIC S.C. NPI is 1861686503. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Glas Chiropractic.

The provider's business location address is:

1415 W RIVERVIEW DR
EAST PEORIA, IL
ZIP 61611-647
Phone: (309) 453-7607

The provider's authorized official is Bret Byron Glas .
The authorized official title is Principal Officer and has the following contact phone number (309) 453-7607.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 6/25/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor042619123ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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