| NPI | 1265824734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES HARTLETT CEO 815-404-3064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2016-02-29 |