| NPI | 1174935092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY DONALD BANKS Owner/President 712-790-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012630) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-06-28 |