Illinois Spine Center Sc
NPI #1124152699 in Springfield, Illinois
Provider Information
- NPI Number
- 1124152699
- Entity Type
- Organization
- Organization Name
- Illinois Spine Center Sc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Apr 13, 2011
Practice Location
- Address
- 2700 W LAWRENCE AVE STE J4
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-7201
- Phone
- (217) 546-6698
Authorized Official
- Name
- DR. CHRISTOPHER ERICK CLEM, D.C.
- Title
- OWNER
- Phone
- (217) 438-6324
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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