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

Southern Illinois Sport and Spine LLC

Organization Chiropractor · NPI 1215277967

Southern Illinois Sport and Spine LLC provides Chiropractor services in Benton, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

106 W Washington St
Benton, IL 62812-1337 Not confirmed with CMS for 13 years — call before visiting
Phone: (618) 435-3888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 038012350 (IL)

Record details

NPI number1215277967
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luke Koehn — Chiropractor · (618) 521-0552
NPI enumeratedFebruary 17, 2013
Last updated in NPPESMay 7, 2013
Mailing address106 W Washington St, Benton, IL 62812-1337

Other providers in Benton