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Southern Illinois Spine & Joint Center Of Marissa Llc
Chiropractor in Marissa, Illinois
NPI 1053664557

Southern Illinois Spine & Joint Center Of Marissa Llc is a Chiropractor based in Marissa, IL. Southern Illinois Spine & Joint Center Of Marissa Llc practices in Marissa, IL. The NPI Number for Southern Illinois Spine & Joint Center Of Marissa Llc is 1053664557 and holds a License No. 038011854 (Illinois).

The current practice location address for Southern Illinois Spine & Joint Center Of Marissa Llc is 112 N Main St, Marissa, IL and can be reached out via phone at 618-295-2268 and via fax at 618-295-3521.

Location: 112 N Main St, Marissa, IL, 62257-1365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053664557
Provider Name
Southern Illinois Spine & Joint Center Of Marissa Llc
Credential
Provider Entity Type
Organization
Address
112 N Main St, Marissa, IL, 62257-1365
Phone Number
618-295-2268
Fax Number
618-295-3521
Provider Enumeration Date
10/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
112 N Main St
City
Marissa
State
Illinois
Zip
62257-1365
Phone Number
618-295-2268
Fax Number
618-295-3521
person
Provider Business Mailing Address Details
Address
112 N Main St
City
Marissa
State
Illinois
Zip
62257-1365
Phone Number
618-295-2268
Fax Number
618-295-3521
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038011854 (Illinois)
Definition
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.
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