| NPI | 1306085428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY A ZIMMERMAN Chiropractor 563-508-1905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010770) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-18 |