| NPI | 1851526107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL PORTER Chiropractor 618-465-1778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 038004782) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |