| NPI | 1134247976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W JENSEN President 815-626-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: IL 038005659) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |