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Organization
SOUTHERN ILLINOIS PHYSICIANS GROUP LTD
Active
Organization
SOUTHERN ILLINOIS PHYSICIANS GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M THAYER DC (PRESIDENT)
(618) 789-0012
Entity
Organization
Contact information
Practice address
203 E MAIN ST, GREENVILLE, IL 62246-1810
(618) 692-6700
(618) 692-6711
Mailing address
PO BOX 997, EDWARDSVILLE, IL 62025-0997
(618) 692-6700
(618) 692-6711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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