| NPI | 1033398185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHAWN MCCAVITT President 309-688-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-008459) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |