Organization
SPINALAID CENTER OF ILLINOIS SC
Active
Other names
LOW BACK PAIN CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK ALEX PRICE DC (PRESIDENT)
(618) 998-0000
Entity
Organization
Contact information
Practice address
302 E DEYOUNG ST, SUITE 1, MARION, IL 62959-2915
(618) 998-0000
(618) 998-0001
Mailing address
302 E DEYOUNG ST, SUITE 1, MARION, IL 62959-2915
(618) 998-0000
(618) 998-0001
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
038-005712
IL
Other
Enumeration date
05/05/2006
Last updated
10/27/2008
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