MEDICARE: SOUTH CITY CHIROPRACTIC CLINIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1639408636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH CITY CHIROPRACTIC CLINIC LLC

Provider Business Mailing Address
First Line	:	6841 GRAVOIS AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-1162
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6841 GRAVOIS AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63116-1162
Country	:	US
Telephone Number	:	317-353-4357
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTOPHER GADDIE
Credential	:
Telephone Number	:	314-353-4357

Provider Enumeration Date	:	12/22/2009
Last Update Date	:	11/20/2024

Similar Medicare Providers

1689651051 — MR. STEVE FRANKLIN MSW, LCSW
Practice Location Address:

6829 GRAVOIS AVE
SAINT LOUIS, MO
63116-1162

Practice Phone: 314-517-8383
Practice Fax: 203-738-4036

1194995191 — DR. CHRISTOPHER ANDREW GADDIE II D.C.
Practice Location Address:

6841 GRAVOIS AVE
SAINT LOUIS, MO
63116-1162

Practice Phone: 314-353-4357
Practice Fax: 314-353-2028

1013947803 — DEANNE PRINTON MD
Practice Location Address:

1850 BEAM AVE
SAINT PAUL, MN
55109-1162

Practice Phone: 651-779-2500
Practice Fax: 651-770-8834

1346338183 — MRS. NKEM UDEH
Practice Location Address:

1162 SAINT JOHNS PLACE
BROOKLYN, NY
11213-2645

Practice Phone: 718-467-4600
Practice Fax: 718-467-0075

1245413426 — PUCCINI INOKON DME VENDOR
Practice Location Address:

1162 SAINT JOHNS PL , 1ST FLR
BROOKLYN, NY
11213-2645

Practice Phone: 646-244-8595
Practice Fax:

1619153814 — ADVANCED MEDICAL SUPPLY
Practice Location Address:

1162 SAINT JOHNS PL
BROOKLYN, NY
11213-2645

Practice Phone: 718-467-4600
Practice Fax: 718-467-0075

Directions to “SOUTH CITY CHIROPRACTIC CLINIC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.