OrganizationActive
Southern Illinois Sport and Spine LLC
NPI 1215277967 · Chiropractor · Benton, IL
Southern Illinois Sport and Spine LLC is a Chiropractor organization in Benton, IL (NPI 1215277967).
Provider details
- NPI number
- 1215277967
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Luke Koehn, Chiropractor(618) 521-0552
- License
- 038012350 (IL)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(78/100 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
106 W Washington St
Benton, IL 62812-1337
Phone: (618) 435-3888
Street-level locationGet directions
Mailing address
106 W Washington St
Benton, IL 62812-1337
Registry dates
- Enumerated
- 2013-02-17
- Last updated
- 2013-05-07
Frequently asked questions
- What is Southern Illinois Sport and Spine LLC's NPI number?
- Southern Illinois Sport and Spine LLC's National Provider Identifier (NPI) is 1215277967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Illinois Sport and Spine LLC?
- Southern Illinois Sport and Spine LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Southern Illinois Sport and Spine LLC located?
- Southern Illinois Sport and Spine LLC's practice location on file with NPPES is 106 W Washington St, Benton, IL 62812-1337.
- What is Southern Illinois Sport and Spine LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Illinois Sport and Spine LLC is (618) 435-3888.
- Who is the authorized official for Southern Illinois Sport and Spine LLC?
- The authorized official listed on Southern Illinois Sport and Spine LLC's NPPES record is Luke Koehn, Chiropractor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Illinois Sport and Spine LLC's NPI active?
- Yes — Southern Illinois Sport and Spine LLC's NPI (1215277967) is active in the NPPES registry as of the last update on 2013-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.