| NPI | 1356637938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOSEPH GRIESBAUM Owner 309-268-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038008016) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2012-02-10 |