Spine and Sport Center

NPI #1801263256 in Springfield, Illinois

Provider Information

NPI Number: 1801263256
Entity Type: Organization
Organization Name: Spine and Sport Center
Primary Specialty: Chiropractor
Enumeration Date: Sep 1, 2015
Last Updated: Sep 24, 2015

Practice Location

Address: 205 N GRAND AVE W
City: Springfield
State: Illinois
ZIP Code: 62702-2550
Phone: (217) 525-2035

Authorized Official

Name: DR. CASEY S SITKO, D.C.
Title: GENERAL MANAGER
Phone: (217) 525-2035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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