| NPI | 1427107846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY MORRIS President 217-324-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2018-06-21 |