| NPI | 1255691093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY M PIRIE President 815-267-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2012-08-07 |