| Southern Illinois Chiropractic Center | |
|
2 Professional Park Drive, Suite B, Maryville, IL 62062-5746 | |
| (618) 288-7991 | |
| (618) 288-7901 |
| Full Name | Southern Illinois Chiropractic Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2 Professional Park Drive, Maryville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407991771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Illinois) | Primary |
| Provider Name | Barry Thomas Delassus |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427013283 PECOS PAC ID: 7719906114 Enrollment ID: I20051116000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Chiropractic Center 2 Professional Park Drive, Suite B, Maryville, IL 62062-5746 Ph: (618) 288-7991 | Southern Illinois Chiropractic Center 2 Professional Park Drive, Suite B, Maryville, IL 62062-5746 Ph: (618) 288-7991 |
Synergy Healthcare Solutions Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2023 Vadalabene Dr Ste 300, Maryville, IL 62062 Phone: 618-288-6722 Fax: 618-288-2077 | |
Dr. Richard M Novak, DC, CCST Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4a Oak Dr, Maryville, IL 62062 Phone: 618-288-8075 Fax: 618-288-8095 | |
Peak Performance Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 62 Executive Plaza Ct, Maryville, IL 62062 Phone: 618-650-8062 | |
Dr. Lindsey Nicole Langendorf, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 62 Executive Plaza Ct, Maryville, IL 62062 Phone: 618-650-8062 | |
Your Health Solutions, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 2136 Vadalabene Dr Ste B, Maryville, IL 62062 Phone: 618-205-3240 Fax: 618-205-3598 | |
Dr. Barry T Delassus, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4949 Autumn Oaks Dr, Suite A, Maryville, IL 62062 Phone: 618-288-7991 Fax: 618-288-7901 |