OrganizationActive
Southern Illinois Spine & Joint Center of Marissa LLC
NPI 1053664557 · Chiropractor · Marissa, IL
Provider details
- NPI number
- 1053664557
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Ryan Reiss, Manager(618) 443-2026
- License
- 038011854 (IL)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
112 N Main St
Marissa, IL 62257-1365
Phone: (618) 295-2268
Fax: (618) 295-3521
Street-level locationGet directions
Mailing address
112 N Main St
Marissa, IL 62257-1365
Registry dates
- Enumerated
- 2012-10-22
- Last updated
- 2012-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.