| NPI | 1316467343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WALLEN Owner/Chiropractor 815-545-6307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL 11389) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-11-20 |