NPI | 1144672031 |
---|---|
Doing Business As | FOUNDATION CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | VANESSA ULLOA Owner 815-630-6461 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2016-07-05 |
Last Update Date | 2024-08-12 |