| NPI | 1164523338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON L STROTHEIDE President 618-876-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038007238) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 006145) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-11-01 |