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SOUTHERN ILLINOIS SPINE & JOINT CENTER
NPI 1790090579
Chiropractor in Marissa, IL

Active since August 17, 2010
112 N MAIN ST, MARISSA, IL 62257(618) 295-2268 Get Directions Write a Review

NPPES record last updated: August 17, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Southern Illinois Spine & Joint Center NPPES

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

SOUTHERN ILLINOIS SPINE & JOINT CENTER (NPI 1790090579) is a healthcare organization registered as a chiropractor in Marissa, Illinois and active in the NPI registry since August 2010. The organization lists Ryan Robert Reiss, Member, as its authorized official.

NPPES Registry Identity

NPI1790090579
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHERN ILLINOIS SPINE & JOINT CENTER
Location Address112 N MAIN STMarissa, IL 62257-1365
Mailing Address112 N Main StMarissa, IL 62257-1365 · (618) 295-2268
Phone(618) 295-2268
Organization SubpartNo
Authorized OfficialRyan Robert ReissMember · (618) 443-2026
Enumeration DateAugust 17, 2010
✔ NPI 1790090579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038003579
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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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

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
DR. GARY LANE BENEDICT D.C.
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 Southern Illinois Spine & Joint Center's NPI number?

The NPI number for Southern Illinois Spine & Joint Center is 1790090579. It was assigned to this organization in the NPPES registry on August 17, 2010.

Where is Southern Illinois Spine & Joint Center located?

Southern Illinois Spine & Joint Center is located at 112 N Main St, Marissa, IL 62257. The listed phone number is (618) 295-2268.

What is Southern Illinois Spine & Joint Center'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 Spine & Joint Center was last updated on August 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.