Organization · Type 2 NPI
Southern Illinois Spine & Joint Center of Marissa LLC
Chiropractor · Marissa, IL
NPI number
1053664557
Active
Practice location
112 N Main St
Marissa, IL 62257-1365
Fax (618) 295-3521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038011854 (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.
3 other providers at this address
Other chiropractor providers in Marissa
About NPI 1053664557
Southern Illinois Spine & Joint Center of Marissa LLC's National Provider Identifier is 1053664557, issued on Oct 22, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Marissa, IL. The record was last updated on Dec 12, 2012.