| NPI | 1760712350 |
|---|---|
| Doing Business As | FIRST CHOICE HEALTHCARE AND PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DAMON PAUL WALTON Director 217-732-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.007886) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.007869) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2011-10-20 |