NPI | 1104044734 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES GEORGE NOBBE Doctor 618-281-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 060003381 038003552) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2008-03-14 |