Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peoria Spine and Sport Ltd

Organization Chiropractor · NPI 1134764517

Peoria Spine and Sport Ltd is a Chiropractor in Peoria, Illinois. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8305 N Allen Rd Ste 7
Peoria, IL 61615-1816
Phone: (309) 621-1410
Fax: (309) 315-1220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1134764517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaclyn Deig — Office Manager · (805) 266-9619
NPI enumeratedNovember 9, 2019
Last updated in NPPESAugust 2, 2025
Certification dateAugust 2, 2025
Mailing address316 E Edgewood St, Morton, IL 61550-2534

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