Provider Demographics
NPI:1922891746
Name:EAST PEORIA WALK-IN CHIROPRACTIC LLC
Entity type:Organization
Organization Name:EAST PEORIA WALK-IN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BUECHNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:309-361-1221
Mailing Address - Street 1:252 E WASHINGTON ST UNIT 6
Mailing Address - Street 2:
Mailing Address - City:EAST PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61611-2561
Mailing Address - Country:US
Mailing Address - Phone:309-361-1221
Mailing Address - Fax:
Practice Address - Street 1:252 E WASHINGTON ST UNIT 6
Practice Address - Street 2:
Practice Address - City:EAST PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61611-2561
Practice Address - Country:US
Practice Address - Phone:309-361-1221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty