SOUTHERN ILLINOIS SPORT AND SPINE LLC is a chiropractor in Benton, IL. The provider is 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. SOUTHERN ILLINOIS SPORT AND SPINE LLC NPI is 1215277967. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
106 W WASHINGTON ST
BENTON, IL
ZIP 62812-337
Phone: (618) 435-3888
The provider's authorized official is Luke William Koehn .
The authorized official title is Chiropractor and has the following contact phone number (618) 521-0552.
The enumeration date for this NPI number is 2/17/2013 and was last updated on 5/7/2013.