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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STATELINE CHIROPRACTIC & SPORTS INJURY CLINIC SC

Active Organization

STATELINE CHIROPRACTIC & SPORTS INJURY CLINIC SC is a Sports Physician (Chiropractor) organization located in SOUTH BELOIT, Illinois. NPI 1003028127 is currently active in the NPPES registry. Verify at CMS.

Sports Physician (Chiropractor) · SOUTH BELOIT, IL

Registration Details

NPI Number
1003028127
Provider Type
Organization
NPI Issued
May 3, 2007 (19.293725119721 yrs)
Last Updated
Aug 1, 2018
License
038008186 (IL)

Practice Information

Address
1407 PATE PLAZA DR
SOUTH BELOIT, IL, 61080
Browse IL providers · Browse ZIP 61080
Phone
8153897870
Primary Specialty
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.