| NPI | 1366585291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JAMES HARTLETT Owner 815-344-1192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-005325) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-12-26 |