Performance Chiropractic of Southern Illinois LLC

NPI #1538314414 in Marion, Illinois

Provider Information

NPI Number
1538314414
Entity Type
Organization
Organization Name
Performance Chiropractic of Southern Illinois LLC
Primary Specialty
Chiropractor
Enumeration Date
Nov 19, 2008
Last Updated
Nov 19, 2008

Practice Location

Address
3905 W ERNESTINE DR
Address 2
SUITE B
City
Marion
ZIP Code
62959-5800
Phone
(618) 997-3257

Authorized Official

Name
RYAN AUGUST GULLETT, DC
Title
OWNER
Phone
(618) 997-3257

Specialties & Taxonomy Codes

Specialty
Chiropractor

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