Organization · Type 2 NPI

Ican Clinic LLC

Multi-Specialty Clinic/Center · Edwardsville, IL

NPI number 1669722872 Active

Practice location

441 S State Route 157 Ste 102
Edwardsville, IL 62025-4017

Call (618) 254-2273 Map

Fax (618) 254-8476

Other practice locations

203 E Ferguson Ave, Wood River, IL 62095-2001 · (618) 254-2273

Specialties and licenses

Taxonomy	Code	License
Chiropractor	111N00000X	038.12178 (IL)
Chiropractor	111N00000X	None listed
Family Medicine Physician	207Q00000X	None listed
Pain Medicine (Physical Medicine & Rehabilitation) Physician	2081P2900X	None listed
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

2 other providers at this address

Other multi-specialty clinic/center providers in Edwardsville

Childrens Illinois IncMulti-Specialty Clinic/Center Edwardsville, IL NPI 1073283198

See all in Edwardsville →

NPI record

NPI: 1669722872
Entity type: Organization (Type 2)
Issued: Sep 14, 2012
Last updated: Aug 3, 2022
Status: Active

Other names

<unavail>
Wood River Chiropractic · doing business as
Wood River Chiropractic · doing business as

Authorized official

Dr. Michael S Harbison, DC
Owner/director
(618) 254-2273

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669722872

Ican Clinic LLC's National Provider Identifier is 1669722872, issued on Sep 14, 2012. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Edwardsville, IL. The record was last updated on Aug 3, 2022.