| Back & Neck Care Clinic, Llc | |
|
410 E Main St Mascoutah IL 62258-2229 | |
| (618) 566-3005 | |
| (618) 551-2777 |
| Full Name | Back & Neck Care Clinic, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 410 E Main St, Mascoutah, Illinois |
| Authorized Official Name and Position | David Bowden (OWNER) |
| Authorized Official Contact | 6185663005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back & Neck Care Clinic, Llc 410 E Main St Mascoutah IL 62258-2229 Ph: (618) 566-3005 | Back & Neck Care Clinic, Llc 410 E Main St Mascoutah IL 62258-2229 Ph: (618) 566-3005 |
| NPI Number | 1205237559 |
|---|---|
| Provider Enumeration Date | 09/05/2014 |
| Last Update Date | 10/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205237559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 038012578 (Illinois) | Primary |
Mind Body Spirit Care Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9640 Mallard Dr, Mascoutah, IL 62258 Phone: 618-960-8796 | |
Rural Family Medicine Associates, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 739 N Jefferson St, Suite 200, Mascoutah, IL 62258 Phone: 618-566-8810 Fax: 618-566-7121 |