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

Southern Illinois Spine & Joint Center of Marissa LLC

Organization Chiropractor · NPI 1053664557

Southern Illinois Spine & Joint Center of Marissa LLC is a Chiropractor in Marissa, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 N Main St
Marissa, IL 62257-1365
Phone: (618) 295-2268
Fax: (618) 295-3521
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 038011854 (IL)

Record details

NPI number1053664557
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Reiss — Manager · (618) 443-2026
NPI enumeratedOctober 22, 2012
Last updated in NPPESDecember 12, 2012
Mailing address112 N Main St, Marissa, IL 62257-1365

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