| NPI | 1275974545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA L JOHNSON Owner/Chiropractor 309-808-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 038.011514) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |