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Organization
SOUTHERN ILLINOIS CHIROPRACTIC CENTER
Active
Organization
SOUTHERN ILLINOIS CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY T DELASSUS DC (OWNER CHIROPRACTOR)
(618) 288-7991
Entity
Organization
Contact information
Practice address
2 PROFESSIONAL PARK DRIVE, SUITE B, MARYVILLE, IL 62062-5746
(618) 288-7991
(618) 288-7901
Mailing address
2 PROFESSIONAL PARK DRIVE, SUITE B, MARYVILLE, IL 62062-5746
(618) 288-7991
(618) 288-7901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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