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

Petersburg Spine & Sport Inc

Organization Chiropractor · NPI 1639318173

Petersburg Spine & Sport Inc is a Chiropractor in Petersburg, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
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

115 E Douglas Ave
Petersburg, IL 62675-1558
Phone: (217) 632-7599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 038011323 (IL)

Record details

NPI number1639318173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gensler — Chiropractor · (217) 632-7599
Other names Petersburg Spine & Sport
NPI enumeratedFebruary 6, 2009
Last updated in NPPESJanuary 5, 2015
Mailing address115 E Douglas Ave, Petersburg, IL 62675-1558

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