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SOUTHPARK CHIROPRACTIC WELLNESS CENTER, LLC
NPI 1972893121
Clinic/Center - Primary Care in Moline, IL

Active since April 08, 2011
1529 46TH AVE, SUITE 4, MOLINE, IL 61265(309) 757-7100(309) 757-7111 Get Directions Write a Review

NPPES record last updated: April 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southpark Chiropractic Wellness Center, Llc NPPES

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

SOUTHPARK CHIROPRACTIC WELLNESS CENTER, LLC (NPI 1972893121) is a healthcare organization registered as a primary care in Moline, Illinois and active in the NPI registry since April 2011. The organization lists Lee Fixen, Owner, as its authorized official.

NPPES Registry Identity

NPI1972893121
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHPARK CHIROPRACTIC WELLNESS CENTER, LLC
Location Address1529 46TH AVE, SUITE 4Moline, IL 61265-7084
Mailing Address1529 46th Ave, Suite 4Moline, IL 61265-7084 · (309) 757-7100 · Fax (309) 757-7111
Phone(309) 757-7100
Fax(309) 757-7111
Organization SubpartNo
Authorized OfficialLee FixenOwner · (309) 757-7100
Enumeration DateApril 8, 2011
✔ NPI 1972893121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 038011683
1529 46TH AVE, Moline, IL 61265
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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 Southpark Chiropractic Wellness Center, LLC's NPI number?

The NPI number for Southpark Chiropractic Wellness Center, LLC is 1972893121. It was assigned to this organization in the NPPES registry on April 8, 2011.

Where is Southpark Chiropractic Wellness Center, LLC located?

Southpark Chiropractic Wellness Center, LLC is located at 1529 46th Ave Suite 4, Moline, IL 61265. The listed phone number is (309) 757-7100.

What is Southpark Chiropractic Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Southpark Chiropractic Wellness Center, LLC was last updated on April 8, 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.