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WOOD RIVER CHIROPRACTIC
NPI 1669722872
Clinic/Center - Multi-Specialty in Edwardsville, IL

Active since September 14, 2012
441 S STATE ROUTE 157 STE 102, EDWARDSVILLE, IL 62025(618) 254-2273(618) 254-8476 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2022, Oct 29, 2020, Feb 1, 2019 (3 updates tracked since 2019).

About Wood River Chiropractic NPPES

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

WOOD RIVER CHIROPRACTIC (NPI 1669722872) is a healthcare organization registered as a multi-specialty in Edwardsville, Illinois and active in the NPI registry since September 2012. The organization maintains a secondary practice location in Wood River and lists Michael S Harbison, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1669722872
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameICAN CLINIC LLC
Location Address441 S STATE ROUTE 157 STE 102Edwardsville, IL 62025-4017
Mailing Address441 S State Route 157 Ste 102Edwardsville, IL 62025-4017 · (618) 254-2273 · Fax (618) 254-8476
Phone(618) 254-2273
Fax(618) 254-8476
Organization SubpartNo
Authorized OfficialMichael S HarbisonOwner/director · (618) 254-2273
Enumeration DateSeptember 14, 2012
Last NPPES UpdateAugust 3, 20223 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
✔ NPI 1669722872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedChiropractorTaxonomy 111N00000X · License 038.12178 (IL)
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
441 S STATE ROUTE 157 STE 102, Edwardsville, IL 62025
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Other Names 1

Doing Business AsWood River Chiropractic

Secondary Practice Location 1

Location 1203 E Ferguson AveWood River, IL 62095-2001 · Phone (618) 254-2273 · Fax (618) 254-8476

Group Practice 2

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

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.

ALICIA KIM SULLIVAN NP
Nurse Practitioner
441 S STATE ROUTE 157 STE 102
EDWARDSVILLE, IL 62025
Madison County (618) 254-2273
DR. BRENT LYERLY D.C.
Chiropractor
441 S STATE ROUTE 157 STE 102
EDWARDSVILLE, IL 62025
Madison County (618) 254-2273

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 Ican Clinic LLC's NPI number?

The NPI number for Ican Clinic LLC is 1669722872. It was assigned to this organization in the NPPES registry on September 14, 2012. The provider is doing business as Wood River Chiropractic.

Where is Ican Clinic LLC located?

Ican Clinic LLC is located at 441 S State Route 157 Ste 102, Edwardsville, IL 62025. The listed phone number is (618) 254-2273.

What is Ican Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Ican Clinic LLC was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.