| NPI | 1407043714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE N FRYE Chiropractor/Owner 618-692-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 38011010) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2024-10-28 |