NPI | 1043443203 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN R. BAILEY Chiropractor 618-483-3838 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: IL 038-009073) |
Enumeration Date | 2009-09-03 |
Last Update Date | 2009-09-03 |