| NPI | 1134637382 |
|---|---|
| Doing Business As | WESTSIDE PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | LOREN RICHIE Owner 217-971-0634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |