| NPI | 1063101871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNI LEE MILLER Chiropractor 815-541-7968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-06-01 |