Chiropractic & Spinal Care Clinic of Mascoutah
Chiropractic & Spinal Care Clinic of Mascoutah provides Sports Physician Chiropractor services in Mascoutah, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
111 E Church StMascoutah, IL 62258-2110
Phone: (618) 566-3500
Fax: (618) 566-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Physician Chiropractor (primary) | Taxonomy 111NS0005X (IL) |
|---|
Record details
| NPI number | 1528017217 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Bollenbaugh — Presendent / Owner · (618) 566-3500 |
| NPI enumerated | May 9, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 13166 Prairie Grass Ln, Breese, IL 62230-4328 |