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PROGRESSIVE SPINE & JOINT CENTER LLC
NPI 1902117237
Chiropractor in O Fallon, IL

Active since July 01, 2010
4965 STONE FALLS CTR, SUITE 3, O FALLON, IL 62269(618) 622-0096(618) 624-9386 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Progressive Spine & Joint Center Llc NPPES

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

PROGRESSIVE SPINE & JOINT CENTER LLC (NPI 1902117237) is a healthcare organization registered as a chiropractor in O Fallon, Illinois and active in the NPI registry since July 2010. The organization lists Jordan Wade Vickery, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1902117237
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePROGRESSIVE SPINE & JOINT CENTER LLC
Location Address4965 STONE FALLS CTR, SUITE 3O Fallon, IL 62269-7803
Mailing Address4965 Stone Falls Ctr, Suite 3O Fallon, IL 62269-7803 · (618) 622-0096 · Fax (618) 624-9386
Phone(618) 622-0096
Fax(618) 624-9386
Organization SubpartNo
Authorized OfficialJordan Wade VickeryChiropractor/owner · (618) 622-0096
Enumeration DateJuly 1, 2010
Last NPPES UpdateFebruary 16, 2011
✔ NPI 1902117237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038011632
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.
4965 STONE FALLS CTR, O Fallon, IL 62269
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Other Identifiers 1

Medicare PINIL4535IL

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 4

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

HOLISTIC CHIROPRACTIC & REHABILITATION CENTER, LLC
Physical Therapist (Electrophysiology, Clinical)
4965 STONE FALLS CTR, SUITE 7
O FALLON, IL 62269
St. Clair County (618) 624-9384
TOMASITA ALICIA LAHUE D.C.
Chiropractor (Nutrition)
4965 STONE FALLS CTR, SUITE #7
O FALLON, IL 62269
St. Clair County (618) 624-9384
HOLISTIC HEALTH & WELLNESS SC
Clinic/Center (Multi-Specialty)
4965 STONE FALLS CTR, SUITE # 7
O FALLON, IL 62269
St. Clair County (618) 624-9384
DR. STUART W HORIN D.C.
Chiropractor
4965 STONE FALLS CTR, SUITE 7
O FALLON, IL 62269
St. Clair County (618) 624-9384

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 Progressive Spine & Joint Center LLC's NPI number?

The NPI number for Progressive Spine & Joint Center LLC is 1902117237. It was assigned to this organization in the NPPES registry on July 1, 2010.

Where is Progressive Spine & Joint Center LLC located?

Progressive Spine & Joint Center LLC is located at 4965 Stone Falls Ctr Suite 3, O Fallon, IL 62269. The listed phone number is (618) 622-0096.

What is Progressive Spine & Joint Center LLC'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 Progressive Spine & Joint Center LLC was last updated on February 16, 2011. 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.