Organization · Type 2 NPI
Integrated Medical Group
Chiropractor · Ofallon, IL
NPI number
1255530259
Active
Practice location
1317 West Hwy 50
Ofallon, IL 62269
Mailing address
PO Box 997
Edwardsville, IL 62025-0997
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
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.
About NPI 1255530259
Integrated Medical Group's National Provider Identifier is 1255530259, issued on Jul 11, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ofallon, IL. The record was last updated on Jul 14, 2008.