NPI | 1235484973 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA LEIGH HOWARD President 309-691-9355 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011650) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011668) |
Enumeration Date | 2012-07-18 |
Last Update Date | 2012-09-11 |