| NPI | 1295857803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DAWN WEGMANN Chiropractor 309-734-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038008005) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-06-18 |