| NPI | 1265124291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY MULLINS Member 630-542-6975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |