Southern Illinois Spine & Joint Center, Llc in Sparta - Chiropractor
Southern Illinois Spine & Joint Center, Llc - NPI 1013098854
Southern Illinois Spine & Joint Center, Llc is a Chiropractor in Sparta, Illinois. Southern Illinois Spine & Joint Center, Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Southern Illinois Spine & Joint Center, Llc is 1013098854. The last update date is 2010-08-17.
Southern Illinois Spine & Joint Center, Llc's current location address is 202 W Jackson St, Sparta, Illinois. You can contact this provider via phone number 6184432026. The mailing address for Southern Illinois Spine & Joint Center, Llc is 202 W Jackson St, Sparta, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Spine & Joint Center, Llc |
|---|---|
| Address | 202 W Jackson St, Sparta, Illinois |
| Phone Number | 6184432026 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIROPRACT |
|---|---|
| Authorized Official Name | Reiss Robert Ryan |
| Credentials | D.C. |
| Telephone Number | 6184432026 |
NPI Number Detail
| NPI Number | 1013098854 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2010-08-17 |
Provider Mailing Address Detail
| Address | 202 W Jackson St |
|---|---|
| City | Sparta |
| State | Illinois (IL) |
| Post Code | 622861676 |
| Phone Number | 6184432026 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 038-010604 |
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Definition: 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 inte |
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Post Comment/ Review Below
What is the unique identifier code issued to Southern Illinois Spine & Joint Center, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Southern Illinois Spine & Joint Center, Llc has been assigned the NPI (National Provider Identifier) 1013098854. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Southern Illinois Spine & Joint Center, Llc's facilities are geographically located?
The facilities of Southern Illinois Spine & Joint Center, Llc are physically situated at the following location: 202 W Jackson St, Sparta, IL, 622861676.
What is Southern Illinois Spine & Joint Center, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Southern Illinois Spine & Joint Center, Llc is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Southern Illinois Spine & Joint Center, Llc receive its 1013098854 assignment from the Centers for Medicare & Medicaid Services?
The Southern Illinois Spine & Joint Center, Llc was assigned its 1013098854 by the Centers for Medicare & Medicaid Services on 2006-10-18.
As of what date were the details pertaining to Southern Illinois Spine & Joint Center, Llc last refreshed?
The information related to the Southern Illinois Spine & Joint Center, Llc, including its address, specialty, and other relevant details, was last updated on 2010-08-17.