NPI | 1639357726 |
---|---|
Entity Type | Organization |
Authorized Contact | LEAH JEANNE KILLIAN Owner 618-624-9080 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.011081) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 38008365) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2008-06-23 |