Midwest Spine and Rehab Corp – Chiropractor

Key facts

NPI: 1285830133
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 111N00000X
License: 38009537 (IL)
Legal business name: MIDWEST SPINE AND REHAB CORP
Practice address: 705 W US Highway 50
O Fallon, IL 62269-1900
Phone: (618) 624-4242
NPI assigned: Jun 26, 2007
Organization subpart: No

Authorized official

Name: Dr. Greg Scott Komeshak, D.C NPI 1265502611
Title: Owner
Phone: (618) 624-4242

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Greg S Komeshak, D.C. Chiropractor · O Fallon, IL · NPI 1265502611

NPD (past) Authorized official CHIROPRACTOR
Jeremy David Hunter, DC Chiropractor · O Fallon, IL · NPI 1912297532

NPD (past) CHIROPRACTOR
Rachel Marie Komeshak, PT Physical Therapist · O'Fallon, IL · NPI 1821112640

NPD (past)

National Provider Directory

Locations

209 E Moody Ave
Knoxville, TN 37920
Phone (865) 577-5757

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193200000X MULTI-SPECIALTY GROUP	111N00000X	38009537	IL	Yes

Addresses

Primary practice location

705 W US Highway 50
O Fallon, IL 62269-1900

Mailing address

705 W US Highway 50
O Fallon, IL 62269-1900
Phone (618) 624-4242

Other providers in O Fallon, IL

All providers in O Fallon, IL · Chiropractor in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2007. 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.

Verify at the official NPI Registry.