NPI | 1285873927 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ANDINO Owner 815-397-7889 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038009900) |
Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: IL 038010991) |
Enumeration Date | 2009-02-19 |
Last Update Date | 2009-02-19 |