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SPINAL CARE CENTER
NPI 1063491389
Chiropractor in Granite City, IL

Active since January 13, 2006
2339 PONTOON ROAD, GRANITE CITY, IL 62040(618) 931-2050(314) 895-5040 Get Directions Write a Review

NPPES record last updated: July 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spinal Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINAL CARE CENTER (NPI 1063491389) is a healthcare organization registered as a chiropractor in Granite City, Illinois and active in the NPI registry since January 2006. The organization lists Philip S Dudak, President Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1063491389
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTAYLORVILLE CHIROPRACTIC CLINIC LTD.
Location Address2339 PONTOON ROADGranite City, IL 62040
Mailing Address2339 Pontoon RoadGranite City, IL 62040 · (618) 931-2050 · Fax (314) 895-5040
Phone(618) 931-2050
Fax(314) 895-5040
Organization SubpartYes
Authorized OfficialPhilip S DudakPresident Of Corporation · (618) 931-2050
Enumeration DateJanuary 13, 2006
Last NPPES UpdateJuly 22, 2008
✔ NPI 1063491389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038006559
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2339 PONTOON ROAD, Granite City, IL 62040
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Other Names 1

Doing Business AsSpinal Care Center

Other Identifiers 3

Medicare ID-Type Unspecified534500IL
Medicare PIN534500
Medicare UPINU05875

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylorville Chiropractic Clinic Ltd.'s NPI number?

The NPI number for Taylorville Chiropractic Clinic Ltd. is 1063491389. It was assigned to this organization in the NPPES registry on January 13, 2006. The provider is doing business as Spinal Care Center.

Where is Taylorville Chiropractic Clinic Ltd. located?

Taylorville Chiropractic Clinic Ltd. is located at 2339 Pontoon Road, Granite City, IL 62040. The listed phone number is (618) 931-2050.

What is Taylorville Chiropractic Clinic Ltd.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Taylorville Chiropractic Clinic Ltd. was last updated on July 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.