NPI | 1083681803 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANN L. MARUSZAK Owner/Physician 815-467-0339 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038007938) |
Enumeration Date | 2006-03-01 |
Last Update Date | 2012-06-21 |