| NPI | 1255633061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY ANN GRIMM Owner Operator 217-222-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-005981) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2011-01-03 |