| NPI | 1215277967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE WILLIAM KOEHN Chiropractor 618-521-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012350) |
| Enumeration Date | 2013-02-17 |
| Last Update Date | 2013-05-07 |