SOUTHERN ILLINOIS MEDICAL PLAZA SC
NPI 1578746228
Chiropractor in Carbondale, IL

Active since December 17, 2007
2250 REED STATION PKWY, STE 305, CARBONDALE, IL 62901(618) 529-1943(618) 549-2975 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Illinois Medical Plaza Sc NPPES

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

SOUTHERN ILLINOIS MEDICAL PLAZA SC (NPI 1578746228) is a healthcare organization registered as a chiropractor in Carbondale, Illinois and active in the NPI registry since December 2007. The organization lists Steven Patrick Barrett, President, as its authorized official.

NPPES Registry Identity

NPI1578746228
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHERN ILLINOIS MEDICAL PLAZA SC
Location Address2250 REED STATION PKWY, STE 305Carbondale, IL 62901-3304
Mailing Address2250 Reed Station PkwyCarbondale, IL 62901 · (618) 529-1943 · Fax (618) 549-2975
Fax(618) 549-2975
Organization SubpartNo
Authorized OfficialSteven Patrick BarrettPresident · (618) 529-1943
Enumeration DateDecember 17, 2007
Last NPPES UpdateSeptember 21, 2010
NPI 1578746228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 038007699
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036093859 (IL)
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedMassage TherapistTaxonomy 225700000X
2250 REED STATION PKWY, Carbondale, IL 62901

Other Identifiers 3

Other03932090IL · Bcbs Of Il Group
Medicare NSC6216660001IL
Medicare UPINIL1078IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Family Medicine
2250 REED STATION PKWY
CARBONDALE, IL 62901
Nurse Practitioner (Family)
2250 REED STATION PKWY
CARBONDALE, IL 62901

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 Medical Plaza Sc's NPI number?

The NPI number for Southern Illinois Medical Plaza Sc is 1578746228. It was assigned to this organization in the NPPES registry on December 17, 2007.

Where is Southern Illinois Medical Plaza Sc located?

Southern Illinois Medical Plaza Sc is located at 2250 Reed Station Pkwy Ste 305, Carbondale, IL 62901. The listed phone number is (618) 529-1943.

What is Southern Illinois Medical Plaza Sc'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 Southern Illinois Medical Plaza Sc was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.