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 |