# SEVERNS FAMILY CHIROPRACTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801172168
- **Authorized official:** DR. SHELLY A SEVERNS (DOCTOR)
- **Authorized official phone:** (618) 624-3600

## Contact information

- **Practice address:** 635 W US HIGHWAY 50, O FALLON, IL 62269-1941
- **Practice address phone:** (618) 624-3600
- **Practice address fax:** (888) 886-3168
- **Mailing address:** 635 WEST US HIGHWAY 50, O'FALLON, IL 62269-1941
- **Mailing address phone:** (618) 624-3600
- **Mailing address fax:** (888) 886-3168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 038.011937 | IL | Yes |

## Other

- **Enumeration date:** 10/31/2011
- **Last updated:** 10/31/2011