NPI | 1215365358 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY LEE CEO 815-603-9755 |
Organization Subpart ? | No |
Primary Taxonomy | 172P00000X Naprapath (Licence: NM 0021) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM MD2007-0654) |
Enumeration Date | 2013-10-29 |
Last Update Date | 2013-10-29 |