| NPI | 1417150186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BRENT FARMER Doctor Of Chiropractic 309-912-5474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SC 3199) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |