Organization
KEIM FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS DAVID KEIM DC (MANAGER)
(618) 444-3234
Entity
Organization
Contact information
Practice address
804 W HIGHWAY 50 STE 210, O FALLON, IL 62269-1827
(618) 444-3234
Mailing address
804 W HIGHWAY 50 STE 210, O FALLON, IL 62269-1827
(618) 607-0110
(618) 607-0550
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012191
IL
Other
Enumeration date
10/04/2017
Last updated
03/17/2018
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