Illinois Spine Center SC
Organization Active NPI Chiropractor · Springfield, IL
NPI 1124152699 · NPPES record last updated Apr 13, 2011
Key facts
- NPI
- 1124152699
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038-009051 (IL)
- Legal business name
- ILLINOIS SPINE CENTER SC
- Practice address
- 2700 W Lawrence Ave Ste J4
Springfield, IL 62704-7201 - Phone
- (217) 546-6698
- Fax
- (217) 438-6532
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Christopher Erick Clem, D.C.
- Title
- Owner
- Phone
- (217) 438-6324
Member organizations 1
Practitioners 3
-
Christopher Erick Clem, D.C.
-
Kyle Wayne Nevill, D.C.
-
Derek Collin Clem, D.C.
National Provider Directory
Locations
2700 W Lawrence Ave
Ste J4
Springfield, IL 62704
Phone (217) 546-6698
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 038-009051 | IL | Yes |
Addresses
Primary practice location
2700 W Lawrence Ave Ste J4
Springfield, IL 62704-7201
Mailing address
2700 W Lawrence Ave Ste J4
Springfield, IL 62704-7201
Phone (217) 546-6698
Other names
- Clem Chiropractic Center
Other providers in Springfield, IL
- Illinois Department of Human Services
- Illinois Department of Public Health
- Illinois Department of Public Health
- Illinois Diagnostic Imaging, Inc
- Illinois Pharmacists Management Enterprises, LLC
- Morayo Ilubanwo
- Sidra Ilyas
- Kevin Andrew Imhoff
- Kevin Wayne Imhoff
- Impactful Counseling Services, P.L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.