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

Southern Illinois Spine & Joint Center of Marissa LLC

Organization Chiropractor · NPI 1053664557

Southern Illinois Spine & Joint Center of Marissa LLC provides Chiropractor services in Marissa, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 N Main St
Marissa, IL 62257-1365 Not confirmed with CMS for 13 years — call before visiting
Phone: (618) 295-2268
Fax: (618) 295-3521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 038011854 (IL)

Record details

NPI number1053664557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Reiss — Manager · (618) 443-2026
NPI enumeratedOctober 22, 2012
Last updated in NPPESDecember 12, 2012
Mailing address112 N Main St, Marissa, IL 62257-1365

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