| NPI | 1396166880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE DOUGLASS PEACOCK Doctor Of Chiropractic / Owner 815-222-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002740A) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2013-12-30 |