| NPI | 1750421194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H. NOBBE Clinic Director 618-939-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IL 038-007391) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-036716) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2013-04-01 |