Ican Clinic LLC
NPI #1669722872 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1669722872
- Entity Type
- Organization
- Organization Name
- Ican Clinic LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Sep 14, 2012
- Last Updated
- Aug 3, 2022
Practice Location
- Address
- 441 S STATE ROUTE 157 STE 102
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-4017
- Phone
- (618) 254-2273
Authorized Official
- Name
- DR. MICHAEL S HARBISON, DC
- Title
- OWNER/DIRECTOR
- Phone
- (618) 254-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Family Medicine |
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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