Organization
CHIROPRO OF LAKE ST. LOUIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT RICE DC (OWNER)
(618) 979-0398
Entity
Organization
Contact information
Practice address
6257 RONALD REAGAN DR, LAKE ST LOUIS, MO 63367-2665
(636) 442-0607
(636) 625-2330
Mailing address
1231 THOUVENOT LN STE 100, SHILOH, IL 62269-7203
(618) 234-8300
(618) 234-8295
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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