| NPI | 1578746228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN PATRICK BARRETT President 618-529-1943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038007699) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036093859) |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2010-09-21 |