Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mind Body Spirit Care Clinic Inc

Organization General Practice Physician · NPI 1104007756

Mind Body Spirit Care Clinic Inc provides General Practice Physician services in Mascoutah, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9640 Mallard Dr
Mascoutah, IL 62258-2762 Not confirmed with CMS for 18 years — call before visiting
Phone: (618) 960-8796
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X (IL)

Record details

NPI number1104007756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Catherine Marshall — President-Owner/Provider · (618) 624-2788
NPI enumeratedNovember 23, 2007
Last updated in NPPESNovember 23, 2007
Mailing address215 N Broadway Ave, Salem, IL 62881-1511