NPI | 1003948480 |
---|---|
Entity Type | Organization |
Authorized Contact | BYRON DERRIK SCHULTZ President 815-463-1130 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-005723) |
Enumeration Date | 2007-03-11 |
Last Update Date | 2008-07-21 |