| NPI | 1356784706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN F REAY Sole Member/Owner 815-322-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038008180) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |