| NPI | 1104113133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ARNOLD ELLINGSON Owner/ President 815-469-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038008273) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |