| NPI | 1114414620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA ARIEL MAYBERRY Owner/Chiropractor 217-679-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012923) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-05-17 |