| NPI | 1326464082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RAY MILLER Owner/Manager 618-842-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.006854) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |