NPI | 1215301254 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY DAVIS Chiropractic Physician 309-699-7222 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.012215) |
Enumeration Date | 2015-11-13 |
Last Update Date | 2015-11-13 |