Individual provider · Type 1 NPI

Mark Eavenson, DC

Chiropractor · Granite City, IL

NPI number 1629037536 Active

Practice location

3986 Maryville Rd
Granite City, IL 62040-4191

Call (618) 797-0618 Map

Fax (618) 797-2243

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone 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.

8 other providers at this address

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About NPI 1629037536

Mark Eavenson, DC's National Provider Identifier is 1629037536, issued on Mar 20, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Granite City, IL. The record was last updated on Jul 19, 2007.