MEDICARE: RILEY CHIROPRACTIC PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1073460952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RILEY CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	2708 E WASHINGTON ST
Second Line	:
City	:	BLOOMINGTON
State	:	IL
Zip	:	61704-4648
Country	:	US
Telephone Number	:	309-265-5173
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 S PROSPECT RD STE 5
Second Line	:
City	:	BLOOMINGTON
State	:	IL
Zip	:	61704-4907
Country	:	US
Telephone Number	:	309-265-5173
Fax Number	:

Authorized Official
Title or Position	:	CLINIC DIRECTOR
Name	:	MORGAN RILEY
Credential	:	DC
Telephone Number	:	309-265-5173

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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