| NPI | 1073936480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DAMHOFF Owner/Chiropractor 331-472-4326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012465) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |