| NPI | 1245411362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J ILYANKOFF President Officer 425-379-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00003256) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00033614) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2008-01-21 |