| Severns Family Chiropractic, Llc | |
|
635 W Us Highway 50 O Fallon IL 62269-1941 | |
| (618) 624-3600 | |
| (888) 886-3168 |
| Full Name | Severns Family Chiropractic, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 635 W Us Highway 50, O Fallon, Illinois |
| Authorized Official Name and Position | Shelly A Severns (DOCTOR) |
| Authorized Official Contact | 6186243600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Severns Family Chiropractic, Llc 635 West Us Highway 50 O'fallon IL 62269-1941 Ph: (618) 624-3600 | Severns Family Chiropractic, Llc 635 W Us Highway 50 O Fallon IL 62269-1941 Ph: (618) 624-3600 |
| NPI Number | 1801172168 |
|---|---|
| Provider Enumeration Date | 10/31/2011 |
| Last Update Date | 10/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801172168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 038.011937 (Illinois) | Primary |
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