NPI | 1013318336 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD A COTTON Owner/Chiropractor 309-208-3094 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038009460) |
Enumeration Date | 2014-09-05 |
Last Update Date | 2014-09-05 |