| NPI | 1073764437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LYNN GULLEDGE Chiropractor 630-390-8074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-006606) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |