Organization · Type 2 NPI

Illinois Spine Center SC

Chiropractor · Springfield, IL

NPI number 1124152699 Active

Practice location

2700 W Lawrence Ave Ste J4
Springfield, IL 62704-7201

Fax (217) 438-6532

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X038-009051 (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 1124152699

Illinois Spine Center SC's National Provider Identifier is 1124152699, issued on Mar 15, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Springfield, IL. The record was last updated on Apr 13, 2011.