| NPI | 1639355175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN M TONER Operating Manager 618-628-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.010814) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |