Spinalaid Center of Illinois Sc

NPI #1639128960 in Marion, Illinois

Provider Information

NPI Number: 1639128960
Entity Type: Organization
Organization Name: Spinalaid Center of Illinois Sc
Primary Specialty: Chiropractor - Orthopedic
Enumeration Date: May 5, 2006
Last Updated: Oct 27, 2008

Practice Location

Address: 302 E DEYOUNG ST
Address 2: SUITE 1
City: Marion
State: Illinois
ZIP Code: 62959-2915
Phone: (618) 998-0000

Authorized Official

Name: DR. KIRK ALEX PRICE, DC
Title: PRESIDENT
Phone: (618) 998-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Orthopedic — Orthopedic	111NX0800X	Primary

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