| NPI | 1124471859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J HUMBERT Owner/Chiropractor 815-351-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012980) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |