Chiropractic Specialist, Inc.

NPI #1629378872 in Highland, Illinois

Provider Information

NPI Number: 1629378872
Entity Type: Organization
Organization Name: Chiropractic Specialist, Inc.
Primary Specialty: Physical Medicine & Rehabilitation - Neuromuscular Medicine
Enumeration Date: Oct 21, 2010
Last Updated: Jan 24, 2017

Practice Location

Address: 1000 ZSCHOKKE ST
City: Highland
State: Illinois
ZIP Code: 62249-1650
Phone: (618) 654-3000

Authorized Official

Name: DR. JORDAN WADE VICKERY, D.C.
Title: PRESIDENT
Phone: (618) 654-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Nurse Practitioner	363L00000X
Physical Medicine & Rehabilitation - Neuromuscular Medicine — Neuromuscular Medicine	2081N0008X	Primary

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