| Back & Spine Medical Institute | |
|
5300 N Illinois St, Fairview Heights, IL 62208-3500 | |
| (618) 222-2222 | |
| Not Available |
| Full Name | Back & Spine Medical Institute |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5300 N Illinois St, Fairview Heights, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871690081 | NPI | - | NPPES |
| DE2495 | Other | IL | RR MEDICARE GROUP# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Back & Spine Medical Institute 1836 Lackland Hill Pkwy, Saint Louis, MO 63146-3572 Ph: (314) 989-0300 | Back & Spine Medical Institute 5300 N Illinois St, Fairview Heights, IL 62208-3500 Ph: (618) 222-2222 |
Kristen R Thompson, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10607 Lincoln Trl, Fairview Heights, IL 62208 Phone: 618-310-1600 | |
Vernon C Modglin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5300 N Illinois St Ste 101, Fairview Heights, IL 62208 Phone: 618-624-9300 Fax: 618-624-9330 | |
Athletico Ltd Physical Therapist Medicare: Medicare Enrolled Practice Location: 5300 N Illinois St Ste 101, Fairview Heights, IL 62208 Phone: 618-624-9300 Fax: 618-624-9330 | |
Jennifer Cowdry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Market Pl, Suite 203, Fairview Heights, IL 62208 Phone: 618-398-4118 Fax: 847-881-9640 | |
Camille Sterling, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Market Pl, Suite 203, Fairview Heights, IL 62208 Phone: 618-398-4119 Fax: 847-881-9640 | |
Ashley T Birtley, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5300 N Illinois St Ste 101, Fairview Heights, IL 62208 Phone: 618-624-9300 Fax: 618-624-9330 | |
Michele Lee Renth, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 N Illinois, Suite 9, Fairview Heights, IL 62208 Phone: 314-621-1416 Fax: 618-624-9330 |