Mr. Ryder Michael Church is a Peoria, Illinois based male chiropractor with 32 years of experience in General Chiropractor. He completed his graduation from Other in 1992. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Ryder Michael Church as General Chiropractor is 038007166 in Illinois. Mr. Ryder Michael Church is qualified as 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.
Complete Profile:
Mr. Ryder Michael Church speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
32+ years
Medical School Attended:
Other
Graduation Year:
1992
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
901 W Glen Ave, Suite A, Peoria, Illinois, 61614-4836
Phone:
309-693-1212
Fax:
309-693-2147
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3971406257
Enrollment ID:
I20040204000198
NPI Number:
1104898659
NPI Enumeration Date:
07 Feb, 2006
NPI Last Update On:
30 Jan, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Ryder Michael Church are as mentioned below.
License Number
Specialization
State
Status
038007166
Chiropractor
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Ryder Michael Church such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
038007166
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
901 W Glen Ave, Suite A Peoria, Illinois
Zip:
61614-4836
Phone Number:
309-693-1212
Fax Number:
309-693-2147
Patients can reach Mr. Ryder Michael Church at 901 W Glen Ave, Suite A, Peoria, Illinois or can call to book an appointment on 309-693-1212. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.