| NPI | 1316586134 |
|---|---|
| Doing Business As | REVIVE CHIROPRACTIC WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | NATALIE ROSE RICHARDS Owner/President 815-742-0987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |