| NPI | 1285024844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS DOERSAM President 815-541-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |