| 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 |