Peck, Teresa G

Peck, Teresa G is an individual health care provider with primary practice located at 777 N Henderson St , Galesburg IL 61401. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Peck, Teresa G can be contacted via phone (309) 343-2117.

Contact Information

Primary practice address
777 N Henderson St Galesburg IL 61401
Phone: (309) 343-2117
Fax: (309) 343-6639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038003972 Illinois

Profile Details

NPI number 1326061219
LBN Legal business name Peck, Teresa G
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jan 9th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326061219 NPPES
Illinois Other 350039076 RAILROAD MEDICARE
Illinois Other 0008182018 RAILROAD MEDICARE
Illinois MEDICAID 038003972 RAILROAD MEDICARE

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