| NPI | 1457454860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEON MILLS President 618-687-2396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL D38.003742) |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-12-20 |