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Organization
KING SPINAL & SPORTS REHABILITATION, LTD.
Active
Organization
KING SPINAL & SPORTS REHABILITATION, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E KING JR. D.C. (PRESIDENT)
(618) 452-1986
Entity
Organization
Contact information
Practice address
1525 JOHNSON RD, GRANITE CITY, IL 62040-3831
(618) 452-1986
(618) 452-6814
Mailing address
PO BOX 943, GRANITE CITY, IL 62040-0943
(618) 452-1986
(618) 452-6814
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038005195
IL
225100000X
Physical Therapist
Primary
070009347
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038005195
—
IL
01
—
06032044
BC/BS OF ILLINOIS
—
Enumeration date
09/22/2006
Last updated
04/02/2026
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