NPI 1003028127

Stateline Chiropractic & Sports Injury Clinic Sc

Organisation Sports Physician Chiropractor South Beloit, IL

Practice location

Address: 1407 Pate Plaza Dr, South Beloit, IL 61080
Phone: (815) 389-7870
Mailing address: 1407 Pate Plaza Dr, South Beloit, IL 61080-1431

Authorised official

Name: Joseph Probst
Title: President
Phone: (815) 389-7870

Registered specialties

Sports Physician Chiropractor Primary

Chiropractic Providers Taxonomy 111NS0005X Licence 038008186 (IL)

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Registry record

NPI: 1003028127
Entity type: Organization
NPI issued: 3 May 2007
Record last updated: 1 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.