Healthcare Provider Details

I. General information

NPI: 1912940248
Provider Name (Legal Business Name): SPRINGFIELD ACCIDENT AND PAIN CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 04/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2035 W ILES AVE SUITE A
SPRINGFIELD IL
62704-4192
US

IV. Provider business mailing address

2035 W ILES AVE SUITE A
SPRINGFIELD IL
62704-4192
US

V. Phone/Fax

Practice location:
  • Phone: 217-787-9100
  • Fax:
Mailing address:
  • Phone: 217-787-9100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN D. WARRINGTON
Title or Position: OWNER
Credential: D.C
Phone: 21778791000