Organization · Type 2 NPI

Southern Illinois Spine & Joint Center, LLC

Chiropractor · Sparta, IL

NPI number 1013098854 Active

Practice location

202 W Jackson St, Suite A
Sparta, IL 62286-1676

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X038-010604 (IL)

Chiropractor: 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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About NPI 1013098854

Southern Illinois Spine & Joint Center, LLC's National Provider Identifier is 1013098854, issued on Oct 18, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Sparta, IL. The record was last updated on Aug 17, 2010.