| NPI | 1528072451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JASON MILLER Doctor Of Chiropractic 618-452-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038009105) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |