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SOUTHERN ILLINOIS CHIROPRACTIC CENTER
NPI 1407991771
Chiropractor in Maryville, IL

Active since February 21, 2007
2 PROFESSIONAL PARK DRIVE, SUITE B, MARYVILLE, IL 62062(618) 288-7991(618) 288-7901 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern Illinois Chiropractic Center NPPES

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

SOUTHERN ILLINOIS CHIROPRACTIC CENTER (NPI 1407991771) is a healthcare organization registered as a chiropractor in Maryville, Illinois and active in the NPI registry since February 2007. The organization lists Barry T Delassus, Owner Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1407991771
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHERN ILLINOIS CHIROPRACTIC CENTER
Location Address2 PROFESSIONAL PARK DRIVE, SUITE BMaryville, IL 62062-5746
Mailing Address2 Professional Park Drive, Suite BMaryville, IL 62062-5746 · (618) 288-7991 · Fax (618) 288-7901
Phone(618) 288-7991
Fax(618) 288-7901
Organization SubpartNo
Authorized OfficialBarry T DelassusOwner Chiropractor · (618) 288-7991
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407991771 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.
2 PROFESSIONAL PARK DRIVE, Maryville, IL 62062
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Illinois Chiropractic Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Illinois Chiropractic Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Barry Delassus, D.C.
Chiropractic
NPI 1427013283
4949 AUTUMN OAKS DR SUITE A
Maryville, IL 62062
(618) 288-7991
0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southern Illinois Chiropractic Center's NPI number?

The NPI number for Southern Illinois Chiropractic Center is 1407991771. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Southern Illinois Chiropractic Center located?

Southern Illinois Chiropractic Center is located at 2 Professional Park Drive Suite B, Maryville, IL 62062. The listed phone number is (618) 288-7991.

What is Southern Illinois Chiropractic Center's specialty?

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

Is Southern Illinois Chiropractic Center enrolled in Medicare?

Yes. Southern Illinois Chiropractic Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Illinois Chiropractic Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Southern Illinois Chiropractic Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Illinois Chiropractic Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.