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SOUTHERN ILLINOIS PHYSICIANS GROUP LTD NPI 1326411927


NPI Information

NPI: 1326411927
Provider Name: SOUTHERN ILLINOIS PHYSICIANS GROUP LTD
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
203 E MAIN ST
GREENVILLE, IL
ZIP 62246
Phone: (618) 692-6700
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SOUTHERN ILLINOIS PHYSICIANS GROUP LTD is a chiropractor in Greenville, 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 PHYSICIANS GROUP LTD NPI is 1326411927. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

203 E MAIN ST
GREENVILLE, IL
ZIP 62246-810
Phone: (618) 692-6700
Fax: (618) 692-6711

The provider's authorized official is David M Thayer .
The authorized official title is President and has the following contact phone number (618) 789-0012.

The enumeration date for this NPI number is 11/4/2015 and was last updated on 11/4/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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