Illinois Spine Center Sc in Springfield - Chiropractor
Illinois Spine Center Sc - NPI 1124152699
Illinois Spine Center Sc is a Chiropractor in Springfield, Illinois. Illinois Spine Center Sc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Illinois Spine Center Sc is 1124152699. The last update date is 2011-04-13.
Illinois Spine Center Sc's current location address is 2700 W Lawrence Ave Ste J4, Springfield, Illinois. You can contact this provider via phone number 2175466698 and fax number 2174386532. The mailing address for Illinois Spine Center Sc is 2700 W Lawrence Ave Ste J4, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illinois Spine Center Sc |
|---|---|
| Address | 2700 W Lawrence Ave Ste J4, Springfield, Illinois |
| Phone Number | 2175466698 |
| Fax Number | 2174386532 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Clem Erick Christopher |
| Credentials | D.C. |
| Telephone Number | 2174386324 |
NPI Number Detail
| NPI Number | 1124152699 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2011-04-13 |
Provider Mailing Address Detail
| Address | 2700 W Lawrence Ave Ste J4 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627047201 |
| Phone Number | 2175466698 |
| Fax Number | 2174386532 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 038-009051 |
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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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What is the Illinois Spine Center Sc's 1124152699?
The Illinois Spine Center Sc's NPI (National Provider Identifier) Number is 1124152699. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the Illinois Spine Center Sc's specialty and taxonomy code?
The Illinois Spine Center Sc's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124152699 to Illinois Spine Center Sc?
The Illinois Spine Center Sc received its 1124152699 assignment from the Centers for Medicare & Medicaid Services on 2007-03-15.
When was the Illinois Spine Center Sc's information last updated?
The Illinois Spine Center Sc's information was last updated on 2011-04-13.
When was the information pertaining to Illinois Spine Center Sc most recently updated or revised?
The details related to Illinois Spine Center Sc, including its address, specialty, and other relevant information, were last updated or revised on 2011-04-13.