| NPI | 1245412998 |
|---|---|
| Doing Business As | BACK IN SHAPE CHIROPRACTIC AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KEITH B POTETTI Owner 815-398-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: IL 038-005879) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |