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 |