| Keim Family Chiropractic Llc | |
|
804 W Highway 50 Ste 210, O Fallon, IL 62269-1827 | |
| (618) 444-3234 | |
| Not Available |
| Full Name | Keim Family Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 804 W Highway 50 Ste 210, O Fallon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003326075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.012191 (Illinois) | Primary |
| Provider Name | Nicholas D Keim |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003176231 PECOS PAC ID: 2769742261 Enrollment ID: I20180201000245 |
| Mailing Address | Practice Location Address |
|---|---|
| Keim Family Chiropractic Llc 804 W Highway 50 Ste 210, O Fallon, IL 62269-1827 Ph: (618) 607-0110 | Keim Family Chiropractic Llc 804 W Highway 50 Ste 210, O Fallon, IL 62269-1827 Ph: (618) 444-3234 |
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