| NPI | 1275820581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA J. SCHNEIDER Chiropractic Physician 217-732-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: IL 038011958) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |