| NPI | 1689716359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS RAY MCGUIRE President/Owner 618-435-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 042617953) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-01-31 |