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Back & Neck Care Clinic, Llc
Clinic/Center in Mascoutah, Illinois
NPI 1205237559

Back & Neck Care Clinic, Llc is a Clinic/Center based in Mascoutah, IL. Back & Neck Care Clinic, Llc practices in Mascoutah, IL. The NPI Number for Back & Neck Care Clinic, Llc is 1205237559 and holds a License No. 038012578 (Illinois).

The current practice location address for Back & Neck Care Clinic, Llc is 410 E Main St, Mascoutah, IL and can be reached out via phone at 618-566-3005 and via fax at 618-551-2777.

Location: 410 E Main St, Mascoutah, IL, 62258-2229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205237559
Provider Name
Back & Neck Care Clinic, Llc
Credential
Provider Entity Type
Organization
Address
410 E Main St, Mascoutah, IL, 62258-2229
Phone Number
618-566-3005
Fax Number
618-551-2777
Provider Enumeration Date
09/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
410 E Main St
City
Mascoutah
State
Illinois
Zip
62258-2229
Phone Number
618-566-3005
Fax Number
618-551-2777
person
Provider Business Mailing Address Details
Address
410 E Main St
City
Mascoutah
State
Illinois
Zip
62258-2229
Phone Number
618-566-3005
Fax Number
618-551-2777
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
038012578 (Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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