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DR. GARY LANE BENEDICT D.C.
NPI 1235261066
Chiropractor in Marissa, IL

Active since March 09, 2007
112 N MAIN ST, MARISSA, IL 62257(618) 295-2268 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Lane Benedict D.c. NPPES

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

DR. GARY LANE BENEDICT D.C. (NPI 1235261066) is an individual chiropractor in Marissa, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1235261066
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GARY LANE BENEDICTCredential: D.C.
Location Address112 N MAIN STMarissa, IL 62257-1342
Mailing Address112 N Main StMarissa, IL 62257-1342 · (618) 295-2268
Phone(618) 295-2268
Sole ProprietorYes
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1235261066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
112 N MAIN ST, Marissa, IL 62257
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Other Identifiers 1

Medicare ID-Type UnspecifiedT37309IL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHERN ILLINOIS SPINE & JOINT CENTER OF MARISSA LLC
Chiropractor
112 N MAIN ST
MARISSA, IL 62257
St. Clair County (618) 295-2268
SOUTHERN ILLINOIS SPINE & JOINT CENTER
Chiropractor
112 N MAIN ST
MARISSA, IL 62257
St. Clair County (618) 295-2268
DR. DILLON LEE KAESBERG D.C.
Chiropractor
112 N MAIN ST
MARISSA, IL 62257
St. Clair County (618) 295-2268

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 Gary Benedict's NPI number?

The NPI number for Gary Benedict is 1235261066. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Gary Benedict located?

Gary Benedict practices at 112 N Main St, Marissa, IL 62257. The listed phone number is (618) 295-2268.

What is Gary Benedict'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 Gary Benedict was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.