Most Relevant Information
Provider Data
| NPI Number: | 1003176231 |
| Provider Name: | NICHOLAS D KEIM D.C |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 038012191 |
Most Important Dates
| Enumeration Date: | 05/22/2012 |
| Last Updated: | 05/22/2012 |
Provider Practice Location
1207 THOUVENOT LN STE 100
SHILOH
IL
622698917
Practice Location Phone/Fax
| Phone: | 6182348300 |
| Fax: | 6182348295 |
Provider Mailing Location
1207 THOUVENOT LN STE 100
SHILOH
IL
622698917
Provider Mailing Phone/Fax
| Phone: | 6182348300 |
| Fax: | 6182348295 |