MUSCLE PAIN CLINIC INC (NPI# 1770823197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770823197 |
| Entity Type | Organization |
| Organization Name | MUSCLE PAIN CLINIC INC |
| Other Organization Name | ILLINOIS VALLEY CHRONIC CONDITIONS & ACUPUNCTURE |
| Practice Address |
4231 Progress Blvd Ste 4 Peru IL 61354 |
| Mailing Address |
4231 Progress Blvd Ste 4 Peru IL 61354-1193 |
| Practice Telephone | 8154104004 |
| Practice Fax Number | 8154104006 |
| Mailing Telephone | 8154104004 |
| Mailing Fax Number | 8154104006 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | DR. WILL TO ZUHIRA (OWNER) |
| Authorized Official Telephone | 8154104004 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038010923 | IL | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Illinois Valley Chronic Conditions & Acupuncture | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3354 N Paulina St, Suite 206c, Chicago, IL 606571068 | 7737152138 | |
| 944 4th St, Peru, IL 613543614 | 8154104004 | 8154104006 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MUSCLE PAIN CLINIC INC | 4231 Progress Blvd Ste 4, Peru, IL 61354-1193 |
| Street Address |
4231 PROGRESS BLVD STE 4 |
| City | PERU |
| State | IL |
| Zip Code | 61354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
| 1689228322 | Zhong Xue | Dentist | 5301 Il-251, Ste A, Peru, IL 61354 | 2019-07-31 |
| 1003281668 | Christopher Shane Smith | Physical Therapist | 1400 Midtown Road, Peru, IL 61354 | 2015-12-08 |
| 1306194451 | Vijaya Lakshmi Bathina | Dentist | 5301 Route 251, Peru, IL 61354 | 2012-08-21 |
| 1225305634 | Walgreens | Point of Service | 1033 Shooting Park Road, Peru, IL 61354 | 2011-11-30 |
| 1811293574 | Charles Riva | Physical Therapist | 4461 N. Progress Blvd., Peru, IL 61354 | 2011-01-28 |
| 1932403896 | Emerging Vision, Inc | Eyewear Supplier (Equipment, not the service) | 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 | 2011-01-06 |
| 1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
| 1952634982 | Quad City Prosthetic Inc | Prosthetic/Orthotic Supplier | 1222 Shooting Park Rd, #104, Peru, IL 61354 | 2009-09-09 |
| Find all providers in zip 61354 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265976641 | Katrina Mcquilkin | Chiropractor | 3815 Progress Blvd Ste C, Peru, IL 61354-1188 | 2016-12-05 |
| 1477910776 | Vibrant Chiropractic, LLC | Chiropractor | 6247 S Pipe Creek Mill Rd, Peru, IN 46970-7795 | 2016-01-19 |
| 1407030901 | Will A Zuhira | Chiropractor | 944 4th St, Peru, IL 61354-3614 | 2007-12-20 |
| 1225232283 | Advanced Integrative Medicine and Chiropractice Wellness Center PC | Chiropractor | 82 E 3rd St, Peru, IN 46970-2213 | 2007-06-13 |
| 1043335078 | Mark William Larsen | Chiropractor | 7 N Wabash St, Peru, IN 46970-2224 | 2007-03-20 |
| 1669596011 | Lori Rynke | Chiropractor | 2415 2nd St, Peru, IL 61354-3101 | 2007-03-19 |
| 1447385059 | Jon E. Reibly | Chiropractor | 210 Boulevard, Peru, IN 46970-1620 | 2007-02-22 |
| 1184725269 | Roger T Miller | Chiropractor | 1723 Tenth St, Ste 100, Peru, IL 61354 | 2006-09-25 |
| 1013014778 | Timothy John Mertes | Chiropractor | 2011 Rock St, Suite F, Peru, IL 61354-1385 | 2006-09-17 |
| 1982610978 | Ryan Jeffrey Smith | Chiropractor | 1104 Peoria St, Peru, IL 61354-2642 | 2006-07-31 |
| Find all providers in PERU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.