SPINALAID CENTER OF ILLINOIS SC (NPI# 1639128960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639128960 |
| Entity Type | Organization |
| Organization Name | SPINALAID CENTER OF ILLINOIS SC |
| Other Organization Name | LOW BACK PAIN CLINIC |
| Practice Address |
302 E Deyoung St Suite 1 Marion IL 62959-2915 |
| Practice Telephone | 6189980000 |
| Practice Fax Number | 6189980001 |
| Mailing Telephone | 6189980000 |
| Mailing Fax Number | 6189980001 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-10-27 |
| Authorized Official Name | DR. KIRK ALEX PRICE (PRESIDENT) |
| Authorized Official Telephone | 6189980000 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
038-005712 | IL | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| LOW BACK PAIN CLINIC | Doing Business As Name - Organization |
| Street Address |
302 E DEYOUNG ST SUITE 1 |
| City | MARION |
| State | IL |
| Zip Code | 62959-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538353974 | Heartland Balance and Hearing Center Sc | General Practice | 302 E Deyoung St, Ste 1, Marion, IL 62959-2915 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770618050 | Max Lee Denton I | Chiropractor | 520 E Center St, Marion, OH 43302-4260 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356824601 | Evanston Spine and Rehab P.C. | Chiropractor | 1325 Howard St Ste 309, Evanston, IL 60202-3788 | 2018-09-12 |
| 1811430481 | Mateusz Jan Cichowicz | Chiropractor | 8612 S 85th Ct, Hickory Hills, IL 60457-1012 | 2016-11-29 |
| 1740527449 | William Walter Anthony | Chiropractor | 443 S Clay St, Hinsdale, IL 60521-4035 | 2013-01-15 |
| 1467615369 | Martis Chiropractic | Chiropractor | 1340 Park Avenue, Pekin, IL 61554-5082 | 2008-07-10 |
| 1801094651 | Donald Ray Gillison | Chiropractor | 408 S 1st St, Fairfield, IL 62837-2520 | 2007-07-03 |
| 1558570259 | Advantage Chiropractic | Chiropractor | 11824 Main St, Roscoe, IL 61073-9561 | 2007-05-21 |
| 1568679538 | Natural Chiropractic Healing | Chiropractor | 423u N. Bolingbrook Dr., Bolingbrook, IL 60440-1954 | 2007-05-17 |
| 1679792477 | Donald P. Mammano, D.c., S.c. | Chiropractor | 1304 Gemini Cir, Suite 2, Ottawa, IL 61350-1689 | 2007-04-24 |
| 1609900950 | Kiyoshi Gary Murakami | Chiropractor | 101 129th Infantry Dr., Joliet, IL 60435 | 2007-03-16 |
| 1467586750 | Healing Pathways, S.c. | Chiropractor | 23909 W. Renwick Rd. #113e., Plainfield, IL 60544-0989 | 2007-03-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SPINALAID CENTER OF ILLINOIS SC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.