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Dr. Jason R Talley, DC
Chiropractor in Granite City, Illinois
NPI 1144224734

Jason R Talley is a Chiropractor based in Granite City, IL. Jason R Talley practices in Granite City, IL and has the professional credentials of DC. The NPI Number for Jason R Talley is 1144224734 and holds a License No. 038-009072 (Illinois).

The current practice location address for Jason R Talley is 2025 Edison Ave, Granite City, IL and can be reached out via phone at 618-451-2874 and via fax at 618-451-2858.

Location: 2025 Edison Ave, Granite City, IL, 62040-5185
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144224734
Provider Name
Jason R Talley
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2025 Edison Ave, Granite City, IL, 62040-5185
Phone Number
618-451-2874
Fax Number
618-451-2858
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4400069 01 IL UNITED HEALTH CARE
442971 01 IL HEALTHLINK
350054835 01 IL RAILROAD MEDICARE
6026195 01 IL BLUE CROSS BLUE SHIELD
U81510 01 IL MERCY
038009072 05 IL
institution
Provider Business Practice Location Address Details
Address
2025 Edison Ave
City
Granite City
State
Illinois
Zip
62040-4514
Phone Number
618-451-2874
Fax Number
618-451-2858
person
Provider Business Mailing Address Details
Address
2025 Edison Ave
City
Granite City
State
Illinois
Zip
62040-4514
Phone Number
618-451-2874
Fax Number
618-451-2858
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-009072 (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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