NPI | 1073929204 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN A STEWART Owner/Doctor 815-909-8494 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 0380011807) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2016-02-17 |