| NPI | 1013193564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA DIRKS Billing Office Manager 563-242-5316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-009852) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |