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Southern Illinois Sport And Spine Llc
Chiropractor in Benton, Illinois
NPI 1215277967

Southern Illinois Sport And Spine Llc is a Chiropractor based in Benton, IL. Southern Illinois Sport And Spine Llc practices in Benton, IL. The NPI Number for Southern Illinois Sport And Spine Llc is 1215277967 and holds a License No. 038012350 (Illinois).

The current practice location address for Southern Illinois Sport And Spine Llc is 106 W Washington St, Benton, IL and can be reached out via phone at 618-435-3888.

Location: 106 W Washington St, Benton, IL, 62812-1337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215277967
Provider Name
Southern Illinois Sport And Spine Llc
Credential
Provider Entity Type
Organization
Address
106 W Washington St, Benton, IL, 62812-1337
Phone Number
618-435-3888
Fax Number
Provider Enumeration Date
02/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
106 W Washington St
City
Benton
State
Illinois
Zip
62812-1337
Phone Number
618-435-3888
Fax Number
person
Provider Business Mailing Address Details
Address
106 W Washington St
City
Benton
State
Illinois
Zip
62812-1337
Phone Number
618-435-3888
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038012350 (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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