| NPI | 1316773666 |
|---|---|
| Doing Business As | KOAH CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | KENNETH ROSS ELLUL Owner/Provider 815-293-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2025-01-09 |