Midwest Spine & Sport Chiropractic
Midwest Spine & Sport Chiropractic is a Rehabilitation Chiropractor in O Fallon, Illinois. Licensed in Illinois. Registered with an NPI since 2010.
- Licensed in
- IL
- In the registry since
- 2010
Practice location Address checks out
1210 Paragon Dr Ste 1BO Fallon, IL 62269-1773
Phone: (618) 973-5522
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Chiropractor (primary) | Taxonomy 111NR0400X · Licence 038.011634 (IL) |
|---|
Record details
| NPI number | 1336460385 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kristi Dieckmann — Owner · (618) 973-5522 |
| NPI enumerated | June 14, 2010 |
| Last updated in NPPES | June 14, 2010 |
| Mailing address | 1210 Paragon Dr, Suite 1b, O Fallon, IL 62269-1773 |
Other providers in O Fallon
-
Dr. Kristi Kay Dieckmann, DC, MS
1210 Paragon Dr Ste 1B, O Fallon, IL 62269-1773 · (618) 973-5522