Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mind Body Spirit Care Clinic Inc

Organization General Practice Physician · NPI 1104007756

Mind Body Spirit Care Clinic Inc is a General Practice Physician in Mascoutah, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9640 Mallard Dr
Mascoutah, IL 62258-2762
Phone: (618) 960-8796
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X (IL)

Record details

NPI number1104007756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Catherine Marshall — President-Owner/Provider · (618) 624-2788
NPI enumeratedNovember 23, 2007
Last updated in NPPESNovember 23, 2007
Mailing address215 N Broadway Ave, Salem, IL 62881-1511