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Organization
SOUTHERN ILLINOIS SPINE & JOINT CENTER
Active
Organization
SOUTHERN ILLINOIS SPINE & JOINT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN ROBERT REISS D.C. (MEMBER)
(618) 443-2026
Entity
Organization
Contact information
Practice address
112 N MAIN ST, MARISSA, IL 62257-1365
(618) 295-2268
Mailing address
112 N MAIN ST, MARISSA, IL 62257-1365
(618) 295-2268
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038003579
IL
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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