| NPI | 1407912793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB G CARAOTTA Owner 815-398-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: IL 038-005798) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-11-08 |