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NORRIS REHAB CLINIC NPI 1760554430


NPI Information

NPI: 1760554430
Provider Name: NORRIS REHAB CLINIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
920 TALON DR
SUITE 101
O FALLON, IL
ZIP 62269
Phone: (618) 632-2000
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NORRIS REHAB CLINIC is a chiropractor in O Fallon, 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. NORRIS REHAB CLINIC NPI is 1760554430. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

920 TALON DR
SUITE 101
O FALLON, IL
ZIP 62269-848
Phone: (618) 632-2000
Fax: (618) 632-2133

The provider's authorized official is Darin Norris .
The authorized official title is Owner and has the following contact phone number (618) 632-2000.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15059553OTHERILLINOISAETNA
28221298OTHERILLINOISBLUE CROSS BLUE SHIELD
3888-329-5182OTHERILLINOISGREAT WEST ACN
4114856OTHERMISSOURIBLUE CROSS BLUE SHIELD
544-02250OTHERILLINOISMEDICARE COMPLETE
658958OTHERILLINOISCMR
7627844OTHERILLINOISUHC
81472270OTHERILLINOISFIRST HEALTH
9382977OTHERILLINOISHEALTHLINK
1058958OTHERILLINOISGHP

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: 4/28/2024

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