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

SOUTHERN ILLINOIS MEDICAL PLAZA SC

Active Organization

SOUTHERN ILLINOIS MEDICAL PLAZA SC is a Chiropractor organization located in CARBONDALE, Illinois. NPI 1578746228 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · CARBONDALE, IL

Registration Details

NPI Number
1578746228
Provider Type
Organization
NPI Issued
Dec 17, 2007 (18.662748924127 yrs)
Last Updated
Sep 21, 2010
Licenses
036093859 (IL)
038007699 (IL)

Practice Information

Address
2250 REED STATION PKWY
STE 305
CARBONDALE, IL, 629013304
Browse IL providers · Browse ZIP 62901
Phone
6185291943
Fax
6185492975
Primary Specialty
Chiropractor
111N00000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Massage Therapist
Additional Specialty
Chiropractor
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.