| Southern Illinois Spine & Joint Center | |
|
112 N Main St, Marissa, IL 62257-1365 | |
| (618) 295-2268 | |
| Not Available |
| Full Name | Southern Illinois Spine & Joint Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 112 N Main St, Marissa, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790090579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038003579 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Spine & Joint Center 112 N Main St, Marissa, IL 62257-1365 Ph: (618) 295-2268 | Southern Illinois Spine & Joint Center 112 N Main St, Marissa, IL 62257-1365 Ph: (618) 295-2268 |
Southern Illinois Spine & Joint Center Of Marissa Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 112 N Main St, Marissa, IL 62257 Phone: 618-295-2268 Fax: 618-295-3521 | |
Dr. Gary Lane Benedict, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 112 N Main St, Marissa, IL 62257 Phone: 618-295-2268 | |
Dr. Dillon Lee Kaesberg, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 112 N Main St, Marissa, IL 62257 Phone: 618-295-2268 Fax: 618-295-3521 |