NPI | 1962403907 |
---|---|
Doing Business As | CHIROMED LTD DBA DUEKER HEALTHCLINIC |
Entity Type | Organization |
Authorized Contact | BENJAMIN JOSHUA LAUX Clinic Owner 618-235-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-009151) |
Enumeration Date | 2005-08-01 |
Last Update Date | 2007-10-16 |