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Dr. Ian Anthony Nicolaides, DC
Chiropractor in Carbondale, Illinois
NPI 1831256585

Ian Anthony Nicolaides is a Chiropractor based in Carbondale, IL. Ian Anthony Nicolaides practices in Carbondale, IL and has the professional credentials of DC. The NPI Number for Ian Anthony Nicolaides is 1831256585 and holds a License No. (Illinois).

The current practice location address for Ian Anthony Nicolaides is 601 W Main St, Carbondale, IL and can be reached out via phone at 618-529-5450 and via fax at 618-549-4354.

Location: 601 W Main St, Carbondale, IL, 62901-2603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831256585
Provider Name
Ian Anthony Nicolaides
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
601 W Main St, Carbondale, IL, 62901-2603
Phone Number
618-529-5450
Fax Number
618-549-4354
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
397403 01 IL HEALTHLINK
039-22545 01 IL BLUECROSS BLUESHIELD IL
institution
Provider Business Practice Location Address Details
Address
601 W Main St
City
Carbondale
State
Illinois
Zip
62901-2603
Phone Number
618-529-5450
Fax Number
618-549-4354
person
Provider Business Mailing Address Details
Address
601 W Main St
City
Carbondale
State
Illinois
Zip
62901-2603
Phone Number
618-529-5450
Fax Number
618-549-4354
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(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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