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Organization
SOUTHERN ILLINOIS SPINE & JOINT CENTER, LLC
Active
Organization
SOUTHERN ILLINOIS SPINE & JOINT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN ROBERT REISS D.C. (CHIROPRACTOR)
(618) 443-2026
Entity
Organization
Contact information
Practice address
202 W JACKSON ST, SUITE A, SPARTA, IL 62286-1676
(618) 443-2026
Mailing address
202 W JACKSON ST, SUITE A, SPARTA, IL 62286-1676
(618) 443-2026
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010604
IL
Other
Enumeration date
10/18/2006
Last updated
08/17/2010
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