Individual
ANITA M REISING
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
315 N MAIN ST, SUITE 1, EDWARDSVILLE, IL 62025-1615
(618) 656-0178
Mailing address
315 N MAIN ST, SUITE 1, EDWARDSVILLE, IL 62025-1615
(618) 656-0178
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06082085
BL CROSS
IL
01
—
197486
H/L
—
Enumeration date
01/23/2006
Last updated
07/08/2007
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