| NPI | 1184136020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA TASSIANRI CLAYWELL Doctor 618-307-9540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012946) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2019-02-01 |